Individual provider Active NPI

Lori Myers, LCSW

  • Clinical Social Worker
  • Whitesboro, NY
National Provider Identifier
1790211134
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088065 Issued in NY
Practice address
8658 Aitken Ave
Whitesboro, NY 13492-2609
Phone
(315) 323-7893
Fax
(315) 748-5367
NPI assigned
May 4, 2017
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 096707-1 NY
Social Worker 104100000X 088065 NY
Clinical Social Worker 1041C0700X 088065 NY Primary

Addresses

Primary practice location

8658 Aitken Ave
Whitesboro, NY 13492-2609

Mailing address

8658 Aitken Ave
Whitesboro, NY 13492
Phone (315) 323-7893

Other identifiers 1

IdentifierTypeStateIssuer
004325146MedicaidNY

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
I20190516000658 NY Practitioner - Clinical Social Worker 9830432723 Reassigns benefits to 1 organization
Practice locations: Whitesboro, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8658 Aitken Ave
Whitesboro, NY 13492-2609
Phone (315) 323-7893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096707-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lori Ann Myers Clinical CurrentSince Feb 16, 2020 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
You Fit Counseling, LCSW PLLC Social Worker CurrentSince Sep 5, 2019 Accepting new patients
Cornerstone Herkimer Clinical PastSince Oct 1, 2019 Accepting new patients

Locations

12 Erie St
Yorkville, NY 13495
Phone (315) 323-7893

Interoperability endpoints

  • Direct secure messaging: lorimyers@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1790211134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8658 AITKEN AVE",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "13492",
            "telephone_number": "315-323-7893",
            "fax_number": "315-866-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8658 AITKEN AVE",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134922609",
            "telephone_number": "315-323-7893",
            "fax_number": "315-748-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "LORI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "096707-1",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "088065",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004325146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesboro, NY

Sources for this page

Verify at the official NPI Registry.