Individual provider Active NPI

Lori A Makos, LCSW

  • Clinical Social Worker
  • Wellsboro, PA
National Provider Identifier
1417189382
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017287 Issued in PA
Practice address
114 East Ave
Wellsboro, PA 16901-1737
Phone
(570) 723-0620
Fax
(570) 724-0675
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW017287 PA Primary

Addresses

Primary practice location

114 East Ave
Wellsboro, PA 16901-1737

Mailing address

32-36 Central Ave
Wellsboro, PA 16901-1840
Phone (570) 723-0574

Other practice location 1

40 W Wellsboro St
Mansfield, PA 16933-1411
Phone (570) 662-1975

Other practice location 2

103 Forestview Ave
Elkland, PA 16920-1403
Phone (814) 258-5117

Other practice location 3

416 S Main St
Mansfield, PA 16933-1510
Phone (570) 662-2002

Other practice location 4

7 Water St
Wellsboro, PA 16901-1126
Phone (570) 721-1010

Other practice location 5

32 E Lawrence Rd
Lawrenceville, PA 16929-8801
Phone (570) 827-0125

Other practice location 6

236 E Main St
Westfield, PA 16950-1607
Phone (814) 367-5911

Other practice location 7

6 Riverside Plz
Blossburg, PA 16912-1137
Phone (570) 638-2174

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120515000113 PA Practitioner - Clinical Social Worker 1355504168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Matthew a Berger MD PCGroup PAC ID 5991791212, 51 clinicians

Practice addresses (Care Compare)

1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone (570) 826-7300

340 Montage Mountain Rd
Moosic, PA 18507-1707
Phone (570) 346-3686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Dec 18, 2025 Accepting new patients
Matthew a Berger MD PC CurrentSince Sep 1, 2024 Accepting new patients
North Penn Comprehensive Health Services CurrentSince Dec 1, 2020 Accepting new patients
Geisinger Clinic CurrentSince Dec 18, 2025 Accepting new patients
North Penn Comprehensive Health Services Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

40 W Wellsboro St
Mansfield, PA 16933
Phone (570) 662-1945

340 Montage Mountain Rd
Moosic, PA 18507
Phone (570) 344-9266

7 Water St
Wellsboro, PA 16901
Phone (570) 724-1010

114 East Ave
Wellsboro, PA 16901
Phone (570) 723-0620

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1417189382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32-36 CENTRAL AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011840",
            "telephone_number": "570-723-0574",
            "fax_number": "570-723-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 EAST AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011737",
            "telephone_number": "570-723-0620",
            "fax_number": "570-724-0675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 W Wellsboro St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "PA",
            "postal_code": "169331411",
            "country_code": "US",
            "telephone_number": "570-662-1975",
            "fax_number": "570-662-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Forestview Ave",
            "address_purpose": "LOCATION",
            "city": "Elkland",
            "state": "PA",
            "postal_code": "169201403",
            "country_code": "US",
            "telephone_number": "814-258-5117",
            "fax_number": "814-258-5510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 S Main St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "PA",
            "postal_code": "169331510",
            "country_code": "US",
            "telephone_number": "570-662-2002",
            "fax_number": "570-662-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Water St",
            "address_purpose": "LOCATION",
            "city": "Wellsboro",
            "state": "PA",
            "postal_code": "169011126",
            "country_code": "US",
            "telephone_number": "570-721-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 E Lawrence Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "PA",
            "postal_code": "169298801",
            "country_code": "US",
            "telephone_number": "570-827-0125",
            "fax_number": "570-827-0129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "236 E Main St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "PA",
            "postal_code": "169501607",
            "country_code": "US",
            "telephone_number": "814-367-5911",
            "fax_number": "814-367-2791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Riverside Plz",
            "address_purpose": "LOCATION",
            "city": "Blossburg",
            "state": "PA",
            "postal_code": "169121137",
            "country_code": "US",
            "telephone_number": "570-638-2174",
            "fax_number": "570-638-3006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKOS",
        "first_name": "LORI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsboro, PA

Sources for this page

Verify at the official NPI Registry.