Lori J Thomas, LCSW, CADC, MISA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-010056 Issued in IL

Practice address

1711 Nish Rd
Crystal Lake, IL 60012-1552

Phone

(815) 236-4832

NPI assigned

Mar 7, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1425686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425686400000",
    "number": "1669865176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 NISH RD",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600121552",
            "telephone_number": "815-236-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 NISH RD",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600121552",
            "telephone_number": "815-236-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LORI",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CADC, MISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-07",
        "last_updated": "2015-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "13154",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-010056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Thresholds
• Therapy Associates PLLC
• Michael Thiel
• Carissa Lynn Thiele, MS, CCC-SLP
• Misty Lynn Thillen, D.D.S.
• Merrin Thomas, DPT
• John Michael Thometz
• Kaitlin Thompson, MS, CCC-SLP, CLC
• Justina Thurmond
• Krishna Tikiwala, DPM

• Clinical Social Worker in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.