Individual provider Active NPI

Lori Hafner Pike, LCSW

  • Clinical Social Worker
  • Great Falls, MT
National Provider Identifier
1588786024
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
784 Issued in MT
Practice address
915 1St Ave S
Center for Mental Health
Great Falls, MT 59401-3705
Phone
(406) 791-9535
Fax
(406) 761-2107
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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 784 MT Primary

Addresses

Primary practice location

915 1St Ave S
Center for Mental Health
Great Falls, MT 59401-3705

Mailing address

1220 3Rd Ave N
Great Falls, MT 59401-1438
Phone (406) 799-1895

Other identifiers 1

IdentifierTypeStateIssuer
0000070106OtherMTBLUE CROSS-SHIELD OF MONT

Other names 1

  • Lori Anne Hafner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20070521000246 MT Practitioner - Clinical Social Worker 7517064959 Practice locations: Great Falls, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 2ND Ave N
Suite 650
Great Falls, MT 59401-3287
Phone (406) 799-1895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
784MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Mental Health Past Accepting new patients
Center for Mental Health Clinical PastSince Apr 22, 2013 Accepting new patients

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1588786024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 3RD AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594011438",
            "telephone_number": "406-799-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 1ST AVE S",
            "address_2": "CENTER FOR MENTAL HEALTH",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013705",
            "telephone_number": "406-791-9535",
            "fax_number": "406-761-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "LORI",
        "middle_name": "HAFNER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-SHIELD OF MONT",
            "identifier": "0000070106",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "HAFNER",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.