Individual provider Active NPI

Lorri Jean Hanson, MSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1861957565
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60979383 Issued in WA
Practice address
624 E Front Ave
Spokane, WA 99202-2139
Phone
(509) 626-9900
NPI assigned
Feb 6, 2019
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO60816752 WA
Clinical Social Worker 1041C0700X LW60979383 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X SC60705659 WA

Addresses

Primary practice location

624 E Front Ave
Spokane, WA 99202-2139

Mailing address

P.O. Box 31001-4114
Pasadena, CA 99110-4114

Other identifiers 1

IdentifierTypeStateIssuer
2121709MedicaidWA

Other names 1

  • Lorri Jean Thiemens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20200211001596 WA Practitioner - Clinical Social Worker 9335575307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebond PLLCGroup PAC ID 4284162330, 2 clinicians

Practice addresses (Care Compare)

323 E 2ND Ave
Suite 201
Spokane, WA 99202-1455
Phone (509) 998-7115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO60816752WAMDAddiction (Substance Use Disorder) Counselor
LW60979383WAMDClinical Social Worker
SC60705659WAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebond PLLC Clinical CurrentSince Jun 13, 2025 Accepting new patients
Providence Health & Services- Washington Clinical CurrentSince Jan 4, 2021 Accepting new patients
Providence Health & Services Washington CurrentSince Apr 21, 2025 Accepting new patients
Providence Health & Services Washington CurrentSince Apr 21, 2025 Accepting new patients
Providence Health & Services - Washington CurrentSince Jan 4, 2021 Accepting new patients
Frontier Behavioral Health Clinical CurrentSince Dec 31, 2019 Accepting new patients
Laura Berg PLLC Clinical PastSince Oct 10, 2024 Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

107 S Division St
Spokane, WA 99202
Phone (509) 383-4651

323 E 2nd Ave
Ste 201
Spokane, WA 99202
Phone (360) 207-2344

624 E Front Ave
Spokane, WA 99202
Phone (509) 626-9900

Organizations & group practices 7

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": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1861957565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 31001-4114",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "991104114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E FRONT AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022139",
            "telephone_number": "509-626-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "LORRI",
        "middle_name": "JEAN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60816752",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60979383",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "SC60705659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2121709",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRI",
            "last_name": "THIEMENS",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.