Wilson, Lori Ann

Wilson, Lori Ann is an individual health care provider with primary practice located at 3377 Riverbend Dr , Springfield OR 97477-8803. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Wilson, Lori Ann can be contacted via phone (541) 222-8400.

Contact Information

Primary practice address
3377 Riverbend Dr Springfield OR 97477-8803
Phone: (541) 222-8400
Fax: (541) 222-8401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X A4541 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12-12-68 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Peer Specialist 175T00000X THW1524 Oregon

Profile Details

NPI number 1114329422
LBN Legal business name Wilson, Lori Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2014
Last updated Apr 10th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114329422 NPPES
Oregon MEDICAID 500679239

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