Individual
LORI MICHELLE PARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 218-9318
Mailing address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 218-9318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
3349
KY
1041C0700X
Clinical Social Worker
Primary
34005905A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056294
ANTHEM GROUP
—
05
—
100076220A
—
IN
01
—
100386460
GROUP MEDICAID #
IN
01
—
1063415297
GROUP MD NPI
—
01
—
160860
IN MEDICARE GROUP #
IN
01
—
1801014626
THERAPIST GROUP NPI
—
01
—
2444451000
KY PASSPORT GROUP #
KY
01
—
50028146
KY PASSPORT
KY
01
—
50704000
MAGELLAN MIS GROUP
—
01
—
6764
KY MEDICARE GROUP
KY
05
—
7100114160
—
KY
01
—
CG3623
IN RR GROUP
IN
01
—
CK2274
KY RR GROUP
KY
01
—
P00809936
RAILROAD MEDICARE #
IN
Enumeration date
10/15/2009
Last updated
12/09/2011
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