Nicole Lea Lore, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-12587 Issued in AZ

Practice address

20185 E Ocotillo Rd Ste 105
Queen Creek, AZ 85242-7663

Phone

(480) 987-2700

Fax

(480) 987-2703

NPI assigned

May 20, 2009

Last updated

May 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Open Minds Healing Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
  • NPI 1235992025
  NPD Authorized official
• Tri-City Cardiology Consultants, PC

  • Cardiac Rehabilitation Registered Nurse
  • Mesa, AZ
  • NPI 1689417636
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1467687426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 E GOLD DUST WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852435884",
            "telephone_number": "480-326-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20185 E OCOTILLO RD STE 105",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852427663",
            "telephone_number": "480-987-2700",
            "fax_number": "480-987-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORE",
        "first_name": "NICOLE",
        "middle_name": "LEA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-12587",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Light at the End PLLC (Light at the End Behavioral Health Services)
• Liv Well Utah, LLC
• Look Who's Talking, PLLC
• Evelyn Loong, PHARM.D
• Bryanna Lord, RBT
• Lotus Elite Services
• Lotus Holistic Healthcare
• Lotusholistichealthcares
• Echo Spring Love, OTR/L
• Jerzie Loving

• Clinical Social Worker in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.