Lori Ann Kingsley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW014800 Issued in PA

Practice address

1239 Golden Mile Rd Ste 103
Towanda, PA 18848-9409

Phone

(570) 637-2804

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lori Ann Davenport Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindfulness Counseling Center LLC

  • Clinical Social Worker
  • Wysox, PA
  • NPI 1881249449
  Medicare reassignment NPD Authorized official
• Mental Health Associates of North Central PA

  • Clinic/Center
  • Laporte, PA
  • NPI 1891093001
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1417031881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 VOUGHT CREEK RD",
            "city": "WYSOX",
            "state": "PA",
            "postal_code": "188548054",
            "telephone_number": "570-637-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 GOLDEN MILE RD STE 103",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188489409",
            "telephone_number": "570-637-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "DAVENPORT",
            "middle_name": "ANN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zachary Johnson
• Keri Lynae Jones, PT
• Joseph Cama MD
• Rebecca Marie Kempa, DPT
• Emily A Kenyon, RN
• Patricia M. Kirkowski, APRN
• Kristen Klimchak, PHARMD.
• Marjory Kizer Kreischer
• Timothy M Kump, DPM
• Dawn R. Lambert, NP

• Clinical Social Worker in Towanda, PA
• Providers in Towanda, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.