Individual provider Active NPI

Lori Eastwood Sr., LMSW

  • Social Worker
  • Dubuque, IA
National Provider Identifier
1871820464
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
01323 Issued in IA
Practice address
1229 Mount Loretta Ave
Dubuque, IA 52003-7826
Phone
(563) 588-0558
Fax
(583) 557-3140
NPI assigned
Nov 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 01323 IA Primary

Addresses

Primary practice location

1229 Mount Loretta Ave
Dubuque, IA 52003-7826

Mailing address

1229 Mount Loretta Ave
Dubuque, IA 52003-8787
Phone (563) 588-0558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1871820464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MOUNT LORETTA AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520038787",
            "telephone_number": "563-588-0558",
            "fax_number": "583-557-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MOUNT LORETTA AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037826",
            "telephone_number": "563-588-0558",
            "fax_number": "583-557-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTWOOD",
        "first_name": "LORI",
        "name_prefix": "Ms.",
        "name_suffix": "Sr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "01323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.