Individual provider Active NPI

Lori Janik, LCSW

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1952183139
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-21878 Issued in AZ
Practice address
1220 S Alma School Rd Ste 103
Mesa, AZ 85210-2078
Phone
(480) 382-9460
NPI assigned
Oct 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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 LCSW-21878 AZ Primary

Addresses

Primary practice location

1220 S Alma School Rd Ste 103
Mesa, AZ 85210-2078

Mailing address

1220 S Alma School Rd Ste 103
Mesa, AZ 85210-2078
Phone (480) 382-9460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250822003922 AZ Practitioner - Clinical Social Worker 6507366606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

1910 S Stapley Dr
Suite 209
Mesa, AZ 85204-6679
Phone (888) 362-5953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-21878AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cactus Flower Healing LLC Clinical CurrentSince Oct 22, 2023 Accepting new patients
Family Care Center, LLC CurrentSince Jun 9, 2025 Accepting new patients

Locations

335 E Germann Rd
Ste 301
Gilbert, AZ 85297
Phone (405) 312-8816

1910 S Stapley Dr
Ste 209
Mesa, AZ 85204
Phone (480) 351-8020

1220 S Alma School Rd
Ste 103
Mesa, AZ 85210
Phone (480) 382-9460

Organizations & group practices 2

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": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1952183139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S ALMA SCHOOL RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102078",
            "telephone_number": "480-382-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S ALMA SCHOOL RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102078",
            "telephone_number": "480-382-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIK",
        "first_name": "LORI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-21878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.