Lori Jo Poole, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-28421 Issued in ID

Practice address

818 NW 15TH St
Meridian, ID 83642-3724

Phone

(208) 888-5566

Fax

(208) 888-5578

NPI assigned

May 16, 2012

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gem State Developmental Center LLC

  • Day Training/Habilitation Specialist
  • Meridian, ID
  • NPI 1023667524
  NPD Authorized official
• Gem State Developmental Center LLC

  • Developmentally Disabled Services Day Training Agency
  • Meridian, ID
  • NPI 1760523062
  NPD (past) Authorized official

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1962762534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 MCMULLEN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090836",
            "telephone_number": "208-861-0798",
            "fax_number": "208-514-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 NW 15TH ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423724",
            "telephone_number": "208-888-5566",
            "fax_number": "208-888-5578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7615 McMullen St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837090836",
            "country_code": "US",
            "telephone_number": "208-861-0798",
            "fax_number": "208-514-2718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLE",
        "first_name": "LORI",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-28421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenae Poffenbarger, PT, DPT
• Anne C Poinier, MD
• Serena Poland, LPC
• Polish Pals LLC
• Poole Joint Replacement Specialists
• Pope Place, PLLC
• Louis Horst Poppler, M.D.
• Hannah Porter
• Karmen Porter
• Rebecca Porter, OTR/L

• Social Worker in Meridian, ID
• Providers in Meridian, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.