Lori Pepper Lisieski

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R039923-1 Issued in NY

Practice address

234 Lincoln St
Gloversville, NY 12078-1935

Phone

(518) 775-5723

NPI assigned

May 22, 2008

Last updated

May 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• St. Mary's Hospital

  • Special Hospital
  • Gloversville, NY
  • NPI 1508032079
  Authorized official Same address or phone
• St. Mary's Healthcare

  • General Acute Care Hospital
  • Amsterdam, NY
  • NPI 1811977796
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1922265222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NORTHAMPTON RD",
            "address_2": "CHILDREN'S MH CLINIC",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120103224",
            "telephone_number": "518-843-7520",
            "fax_number": "518-843-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 LINCOLN ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781935",
            "telephone_number": "518-775-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISIESKI",
        "first_name": "LORI",
        "middle_name": "PEPPER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R039923-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lifite, RN
• Lincare Inc.
• Julia Lindsay
• Lacresha Linton
• Lisa Campione, D.C. (Active and Well Family Chiropractic)
• Frances Locascio, NURSE PRACTITIONER
• Anita D Lowry, LPN
• Barbara Ann Luthi, RN
• Meredith Ann Lynds, PT, DPT
• Rebecca Lyons, OTR/L

• Clinical Social Worker in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.