Individual provider Active NPI

Lori Linn, L.C.S.W.

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1992862387
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS22387 Issued in CA
Practice address
4603 Mission Blvd Ste 217
San Diego, CA 92109-2793
Phone
(619) 379-8482
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2020

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 LCS22387 CA Primary

Addresses

Primary practice location

4603 Mission Blvd Ste 217
San Diego, CA 92109-2793

Mailing address

4603 Mission Blvd Ste 217
San Diego, CA 92109-2793
Phone (619) 379-8482

Other practice location 1

815 3rd Ave
Suite 317
Chula Vista, CA 91911-1307
Phone (619) 379-8482

Other names 1

  • Lori Linn Pele Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS22387CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1992862387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 MISSION BLVD STE 217",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092793",
            "telephone_number": "619-379-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 MISSION BLVD STE 217",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092793",
            "telephone_number": "619-379-8482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 3rd Ave",
            "address_2": "Suite 317",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919111307",
            "country_code": "US",
            "telephone_number": "619-379-8482",
            "fax_number": "619-426-8336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINN",
        "first_name": "LORI",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "PELE",
            "middle_name": "LINN",
            "credential": "L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.