Individual provider Active NPI

Loriann Rose Devito, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1962993113
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013463 Issued in NC
Practice address
5007 Providence Rd Ste 105
Charlotte, NC 28226-5907
Phone
(704) 364-6594
Fax
(704) 364-6596
NPI assigned
May 23, 2018
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C103463 NC
Clinical Social Worker 1041C0700X C013463 NC Primary

Addresses

Primary practice location

5007 Providence Rd Ste 105
Charlotte, NC 28226-5907

Mailing address

5007 Providence Rd Ste 105
Charlotte, NC 28226-5907
Phone (585) 315-2520

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C103463NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Services of Greater Charlotte, Inc Clinical CurrentSince Feb 10, 2021 Accepting new patients
Cityblock Medical Practice, P.a. CurrentSince Jan 1, 2023 Accepting new patients

Locations

4444 The Plaza
Charlotte, NC 28215
Phone (336) 360-2407

4444 The Plaza
Unit 18
Charlotte, NC 28215

5007 Providence Rd
Ste 105
Charlotte, NC 28226
Phone (704) 364-6594

1439 E Cone Blvd
Greensboro, NC 27405
Phone (336) 375-6104

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (347) 463-5529

55 Water St
#4C
Brooklyn, NY 11201
Phone (917) 718-2063

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1962993113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 PROVIDENCE RD STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265907",
            "telephone_number": "585-315-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 PROVIDENCE RD STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265907",
            "telephone_number": "704-364-6594",
            "fax_number": "704-364-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVITO",
        "first_name": "LORIANN",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C103463",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.