Active NPI
Lori A Dritz, LCSW
- Clinical Social Worker
- Poughkeepsie, NY
National Provider Identifier
1588796759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R031263-1
- Practice address
- 21 Fairmont Ave
Suite #2
Poughkeepsie, NY 12603-2409 - Phone
- (845) 452-4030
- Fax
- (845) 297-0224
- NPI assigned
- Mar 12, 2007
- Last updated
- Dec 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R031263-1 | NY | Primary |
Addresses
Primary practice location
21 Fairmont Ave
Suite #2
Poughkeepsie, NY 12603-2409
Mailing address
3 Cleveland Dr
Poughkeepsie, NY 12601-6001
Phone (845) 298-0264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 Cleveland Dr
Poughkeepsie, NY 12601-6001
504 Haight Ave
Poughkeepsie, NY 12603-2479
Phone (845) 242-3623
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R031263-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lori a Dritz LCSW PC | Current | Accepting new patients | |
| Mid-Hudson Behavioral Health Group-LCSW, LLP | Current | Accepting new patients |
Locations
504 Haight Ave
Poughkeepsie, NY 12603
Phone (845) 242-3623
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Poughkeepsie, NY
- NPI 1801219266
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wappingers Falls, NY
- NPI 1881124972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1588796759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CLEVELAND DR",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126016001",
"telephone_number": "845-298-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 FAIRMONT AVE",
"address_2": "SUITE #2",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032409",
"telephone_number": "845-452-4030",
"fax_number": "845-297-0224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRITZ",
"first_name": "LORI",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R031263-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.