Individual provider Active NPI

Lori A Truesdell, MSW, LSW

  • Social Worker
  • La Porte, IN
National Provider Identifier
1730120148
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW012721L Issued in PA
Practice address
2364 N US Highway 35
La Porte, IN 46350-8380
Phone
(219) 267-0567
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW012721L PA Primary
Mental Health Counselor 101YM0800X 34001232A IN

Addresses

Primary practice location

2364 N US Highway 35
La Porte, IN 46350-8380

Mailing address

2364 North US Hwy 35
Laporte, IN 46350
Phone (219) 267-0567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100618000535 IN Practitioner - Clinical Social Worker 2668502576 Reassigns benefits to 3 organizations
Practice locations: Laporte, IN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knox Winamac Community Health Centers IncGroup PAC ID 9537229802, 6 clinicians

Practice addresses (Care Compare)

1002 S Edgewood Dr
Knox, IN 46534-8226
Phone 574772603024

318 Pine Lake Ave
Laporte, IN 46350-3061
Phone (219) 267-0567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34001232AINMDMental Health Counselor
SW012721LPAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Knox Winamac Community Health Centers Inc CurrentSince Apr 4, 2016 Accepting new patients
Southlake Community Mental Health Center Inc. CurrentSince Dec 19, 2020 Accepting new patients
Southlake Community Mental Health Center Inc. CurrentSince Dec 19, 2020 Accepting new patients
Knox-Winamac Community Health Centers, Inc. CurrentSince Apr 4, 2016 Accepting new patients
Porter-Starke Services Inc. CurrentSince Apr 29, 2010 Accepting new patients
Porter-Starke Services Inc. CurrentSince Apr 29, 2010 Accepting new patients

Locations

1002 S Edgewood Dr
Knox, IN 46534
Phone (574) 772-0855

8555 Taft St
Merrillville, IN 46410
Phone (219) 736-7232

8400 Louisiana St
Merrillville, IN 46410
Phone (219) 757-1924

601 Wall St
Valparaiso, IN 46383
Phone (219) 806-3011

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1730120148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 NORTH US HWY 35",
            "city": "LAPORTE",
            "state": "IN",
            "postal_code": "46350",
            "telephone_number": "219-267-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 N US HIGHWAY 35",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463508380",
            "telephone_number": "219-267-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUESDELL",
        "first_name": "LORI",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW012721L",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34001232A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.