Individual provider Active NPI

Lori Dawn Mahala, LCSW, LCAS-A

  • Clinical Social Worker
  • Brevard, NC
National Provider Identifier
1609143494
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011851 Issued in NC
Practice address
29 W French Broad St Ste 202
Brevard, NC 28712-4773
Phone
(828) 883-5550
Fax
(828) 883-5525
NPI assigned
Nov 21, 2011
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-25319 NC
Clinical Social Worker 1041C0700X 2011027080 MO
Clinical Social Worker 1041C0700X C011851 NC Primary

Addresses

Primary practice location

29 W French Broad St Ste 202
Brevard, NC 28712-4773

Mailing address

220 5TH Ave E
Hendersonville, NC 28792-4377
Phone (828) 692-4289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190128002717 NC Practitioner - Clinical Social Worker 3072874924 Reassigns benefits to 4 organizations
I20240612001255 KY Practitioner - Clinical Social Worker 3072874924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

110 N Corcoran St
Durham, NC 27701-5015
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-25319NCMDAddiction (Substance Use Disorder) Counselor
2011027080MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Community Health Services, Inc. Current Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Nov 5, 2018 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Nov 3, 2018 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Nov 3, 2018 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 2, 2025 Accepting new patients
Kentucky Counseling Center, LLC CurrentSince May 12, 2024 Accepting new patients

Locations

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

29 W French Broad St
Ste 202
Brevard, NC 28712
Phone (828) 883-5550

220 5th Ave E
Hendersonvlle, NC 28792
Phone (828) 337-3372

2579 Chimney Rock Rd
Hendersonvlle, NC 28792
Phone (828) 692-3106

709 N Justice St
Ste B
Hendersonvlle, NC 28791
Phone (828) 696-1255

5540 Centerview Dr
Ste 204
Raleigh, NC 27606
Phone (704) 221-2320

Organizations & group practices 6

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": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1609143494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 5TH AVE E",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287924377",
            "telephone_number": "828-692-4289",
            "fax_number": "828-696-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 W FRENCH BROAD ST STE 202",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124773",
            "telephone_number": "828-883-5550",
            "fax_number": "828-883-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHALA",
        "first_name": "LORI",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-25319",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011027080",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

Verify at the official NPI Registry.