Lori Jill Charbonneau, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1526 Issued in ND

Practice address

2401 46TH Ave SE Ste 201
Mandan, ND 58554-4829

Phone

(701) 699-4052

Fax

(701) 989-7030

NPI assigned

Oct 9, 2007

Last updated

Sep 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Transitions Healthcare PLLCGroup PAC ID 1153736160, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Transitions Healthcare PLLC

  dba Transitions Healthcare

  • Clinic/Center
  • Mandan, ND
  • NPI 1992304695
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1700074341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 HEARTWOOD CIR SE",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585546245",
            "telephone_number": "701-871-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 46TH AVE SE STE 201",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585544829",
            "telephone_number": "701-699-4052",
            "fax_number": "701-989-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARBONNEAU",
        "first_name": "LORI",
        "middle_name": "JILL",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "1526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "024385",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054517",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carter Chiropractic P C (Spinecare Chiropractic)
• Joshua Scott Carter, DC
• Sara Carter
• Kendra Casavant, LSW
• Diana K Castillo
• Mercede Christ
• Krista Christensen
• Rhonda Cloud
• Comfort Qualified Home Care LLC
• Amber Cook

• Clinical Social Worker in Mandan, ND
• Providers in Mandan, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.

Verify at the official NPI Registry.