Lora Spalt, LCDS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCDS00047 Issued in RI

Practice address

208 Governor St
Providence, RI 02906-3246

Phone

(401) 490-3563

Fax

(401) 490-3569

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lspalt@direct.carene.org

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.

• Affinity Physicians LLC.

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1184944662
  NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538249552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GOVERNOR ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063246",
            "telephone_number": "401-490-3563",
            "fax_number": "401-490-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GOVERNOR ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063246",
            "telephone_number": "401-490-3563",
            "fax_number": "401-490-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPALT",
        "first_name": "LORA",
        "credential": "LCDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "LCDS00047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LS18866",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Joseph Souza, LPN
• Stacie Lyn Souza, LICSW
• Victoria Souza, PHARMD
• Carole Suzanne Lucie Spake, MD
• Anthony Joseph Spallino, PA-C
• Partaja Niqua Spann Taylor, LCSW
• Erica Spano, FNP-C
• Coco Sparks, RDN, LDN
• Katherine Sparrow
• Shirley Ann Spater Freedman, DMD MPH

• Addiction (Substance Use Disorder) Counselor in Providence, RI
• Providers in Providence, RI by specialty
• Addiction (Substance Use Disorder) Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.