Individual provider Active NPI

Lori B Harrison, MSW, LCSW

  • Clinical Social Worker
  • East Alton, IL
National Provider Identifier
1861967200
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.019922 Issued in IL
Practice address
2 Terminal Dr Ste 8
East Alton, IL 62024-2294
Phone
(618) 259-0365
Fax
(618) 259-2495
NPI assigned
Oct 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.019922 IL Primary

Addresses

Primary practice location

2 Terminal Dr Ste 8
East Alton, IL 62024-2294

Mailing address

2 Terminal Dr Ste 8
East Alton, IL 62024-2294
Phone (618) 259-0365

Other practice location 1

131 Hillsboro Ave
Edwardsville, IL 62025-1621
Phone (618) 624-4060

Other names 1

  • Lori B McCurdy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240617003843 IL Practitioner - Clinical Social Worker 8628511706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Illinois Healthcare Foundation IncGroup PAC ID 1456256874, 117 clinicians

Practice addresses (Care Compare)

2 Terminal Dr
Suite 4B
East Alton, IL 62024-2296
Phone (618) 216-8127

2 Terminal Dr
Suite 8
East Alton, IL 62024-2294
Phone (618) 258-0485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.019922ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation Inc CurrentSince Jun 4, 2024 Accepting new patients
Southern Illinois Healthcare Foundation Inc Current Accepting new patients
Southern Illinois Healthcare Foundation Inc Clinical CurrentSince Jun 4, 2024 Accepting new patients

Locations

2 Terminal Dr
Ste 8
East Alton, IL 62024
Phone (618) 258-0485

6000 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-2740

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

2041 Goose Lake Rd
Sauget, IL 62206

Organizations & group practices 3

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": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1861967200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TERMINAL DR STE 8",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242294",
            "telephone_number": "618-259-0365",
            "fax_number": "618-259-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TERMINAL DR STE 8",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242294",
            "telephone_number": "618-259-0365",
            "fax_number": "618-259-2495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Hillsboro Ave",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620251621",
            "country_code": "US",
            "telephone_number": "618-624-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "LORI",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "MCCURDY",
            "middle_name": "B",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Alton, IL

Sources for this page

Verify at the official NPI Registry.