Individual provider Active NPI

Lori L. Demerchant, LCSW

  • Clinical Social Worker
  • Presque Isle, ME
National Provider Identifier
1972661940
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC11552 Issued in ME
Practice address
34 North St
Suite 2
Presque Isle, ME 04769-2264
Phone
(207) 768-9400
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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 LC11552 ME Primary

Addresses

Primary practice location

34 North St
Suite 2
Presque Isle, ME 04769-2264

Mailing address

218 W Presque Isle Rd
Caribou, ME 04736-4113
Phone (207) 493-4770

Other identifiers 2

IdentifierTypeStateIssuer
098153OtherMEANTHEM BCBS NUMBER
431481499MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1972661940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W PRESQUE ISLE RD",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047364113",
            "telephone_number": "207-493-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 NORTH ST",
            "address_2": "SUITE 2",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692264",
            "telephone_number": "207-768-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERCHANT",
        "first_name": "LORI",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS NUMBER",
            "identifier": "098153",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431481499",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.