Individual provider Active NPI

Lori Anne George, LLMSW

  • Social Worker
  • Clinton Township, MI
National Provider Identifier
1578119897
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801104600 Issued in MI
Practice address
35455 Garfield Rd Ste C
Clinton Township, MI 48035-2236
Phone
(586) 193-5335
Fax
(586) 792-3061
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801104600 MI Primary

Addresses

Primary practice location

35455 Garfield Rd Ste C
Clinton Township, MI 48035-2236

Mailing address

2800 Livernois Rd Ste 500
Troy, MI 48083-1219
Phone (248) 680-8203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20221108002574 MI Practitioner - Clinical Social Worker 9133596943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

38600 Van Dyke Ave
Suite 101
Sterling Heights, MI 48312-1171
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801104600MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Eastwood Behavioral Health Social Worker CurrentSince Aug 18, 2019 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Nov 5, 2022 Accepting new patients

Locations

37500 Garfield Rd
Ste 175
Clinton Twp, MI 48036
Phone (586) 792-5335

35455 Garfield Rd
Ste C
Clinton Twp, MI 48035
Phone (586) 792-5335

38600 Van Dyke Ave
Ste 101
Sterling Heights, MI 48312
Phone (248) 266-5591

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

2800 Livernois Rd
Ste 500
Troy, MI 48083
Phone (586) 753-0400

Organizations & group practices 2

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1578119897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 LIVERNOIS RD STE 500",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831219",
            "telephone_number": "248-680-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35455 GARFIELD RD STE C",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352236",
            "telephone_number": "586-193-5335",
            "fax_number": "586-792-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "LORI",
        "middle_name": "ANNE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801104600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.