Lorri Jean Stevens, LMSW, CAADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801094454 Issued in MI

Practice address

22105 Grand Lake St
Saint Clair Shores, MI 48080-4018

Phone

(313) 377-0877

NPI assigned

Jun 15, 2015

Last updated

Jun 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Lorri Jean Paquette Former name

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

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1932580008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22105 GRAND LAKE ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480804018",
            "telephone_number": "313-377-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22105 GRAND LAKE ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480804018",
            "telephone_number": "313-377-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "LORRI",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-02866",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRI",
            "last_name": "PAQUETTE",
            "middle_name": "JEAN",
            "prefix": "MRS.",
            "credential": "NONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leo Patrick Stephens, MD
• Renee A Stephens, PHARMD
• Craig Louis Stephenson, D C
• Sterling Medical Care, P.C
• Asha Monique Stevens
• Elizabeth Stewart
• Desanka Stipic-Petrovic, M.D.
• Aleksandra Stoklosa, MA
• Frank Storer
• Mary Jo Stoychoff

• Clinical Social Worker in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.