Individual provider Active NPI

Lora Marion Pendleton, LCSWA

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1598308637
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014106 Issued in NC
Practice address
1314 Patton Ave Ste F
Asheville, NC 28806-2648
Phone
(828) 225-3100
Fax
(828) 225-3604
NPI assigned
Oct 22, 2019
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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 P014106 NC Primary

Addresses

Primary practice location

1314 Patton Ave Ste F
Asheville, NC 28806-2648

Mailing address

94 Elkwood Ave
Woodfin, NC 28804-3102
Phone (828) 582-1900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322003764 NY Practitioner - Clinical Social Worker 2668819830

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

127 W State St
FL 1
Ithaca, NY 14850-5474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P014106NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Children's Service of Ithaca Inc CurrentSince Feb 23, 2024 Accepting new patients

Locations

127 W State St
Fl 1
Ithaca, NY 14850
Phone (607) 273-7494

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1598308637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 ELKWOOD AVE",
            "city": "WOODFIN",
            "state": "NC",
            "postal_code": "288043102",
            "telephone_number": "828-582-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 PATTON AVE STE F",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062648",
            "telephone_number": "828-225-3100",
            "fax_number": "828-225-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "LORA",
        "middle_name": "MARION",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.