LORI G KOLWYCK (LCSW) – Clinical Social Worker, NPI 1215938568

LORI G KOLWYCK (LCSW) is a healthcare provider. based in Cape girardeau, Missouri. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 004221 (MO). The NPI Number for LORI G KOLWYCK (LCSW) is 1215938568

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
LORI G KOLWYCK (LCSW)
NPI
1215938568
Phone
(573) 339-2000
Address
1702 N KINGSHIGHWAY ST
Enumeration Date
9 August 2005
Last Update Date
8 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
3173796638
Group Practice PAC ID
9931007929
Professional Enrollment ID
I20111027000571
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,245 CLINICAL SOCIAL WORKER in MO

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Provider Addresses for LORI G KOLWYCK (LCSW)

  • North Kingshighway, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States

    CAPE GIRARDEAU, MO 637012122

    Phone: (573) 339-2000

    Fax: (573) 339-1876

    Type: Location

  • PO BOX 801143

    KANSAS CITY, MO 641801143

    Phone: (573) 331-5583

    Fax: (573) 331-5079

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111027000571IClinical Social WorkerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931007929View full group profile
NameSpecialtyState
Nurse PractitionerMO
-MO
-MO
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
Nurse PractitionerMO
Family PracticeMO
Nurse PractitionerMO
Physician AssistantMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Where can patients find LORI G KOLWYCK (LCSW)'s NPI?
You can confirm LORI G KOLWYCK (LCSW) with NPI 1215938568; it appears in the national provider directory.
Does this profile mean LORI G KOLWYCK (LCSW) is currently active?
Yes — LORI G KOLWYCK (LCSW) appears active in the national provider directory.
What kind of provider is LORI G KOLWYCK (LCSW)?
The page reflects Clinical Social Worker for LORI G KOLWYCK (LCSW). Clinical services aligned with this taxonomy classification.
Where is LORI G KOLWYCK (LCSW)'s primary listing?
We display Cape Girardeau, Missouri because that is what the record indicates for LORI G KOLWYCK (LCSW).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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