Organization Active NPI

Lori a Dritz LCSW PC

  • Mental Health Counselor
  • Poughkeepsie, NY
National Provider Identifier
1801219266
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R031263-1 Issued in NY
Legal business name
LORI A DRITZ LCSW PC
Practice address
504 Haight Ave
Poughkeepsie, NY 12603-2479
Phone
(845) 242-3623
NPI assigned
Jan 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Lori A Dritz, LCSWNPI 1588796759
Title
LCSW
Phone
(845) 242-3623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X R031263-1 NY Primary

Addresses

Primary practice location

504 Haight Ave
Poughkeepsie, NY 12603-2479

Mailing address

3 Cleveland Dr
Poughkeepsie, NY 12601-6001
Phone (845) 452-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140508000327 NY Part B Supplier - Clinic/Group Practice 4082847579 Receives reassigned benefits from 1 practitioner
Practice locations: Poughkeepsie, NY

National Provider Directory

National Provider Directory

Locations

942 Route 376
Ste 218
Wappingers Falls, NY 12590
Phone (845) 226-6585

11 Marshall Rd
Ste 2L
Wappingers Fl, NY 12590
Phone (845) 298-4350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1801219266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CLEVELAND DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016001",
            "telephone_number": "845-452-4030",
            "fax_number": "877-224-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 HAIGHT AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032479",
            "telephone_number": "845-242-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI A DRITZ LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "DRITZ",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "845-242-3623",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R031263-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.