Lori A. Park, MS,LCSW
NPI 1053561431ActiveIndividual· Social Worker, Clinical· Globe, AZ
Social Worker, Clinical (MS,LCSW) with Community Bridges Inc, practicing in Globe, Arizona. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1053561431 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS,LCSW |
| Sole proprietor | No |
| NPI issued | Sep 23, 2008 |
| Last updated in NPPES | Sep 23, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCSW-12565 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (AZ) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Community Bridges IncPhoenix, AZ · 109 clinicians
Other clinical social workers in Globe
- 1073357331
- 1699355800