Healthcare Provider Details

I. General information

NPI: 1457143885
Provider Name (Legal Business Name): JANICE K LOTT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 ELMWOOD CIR
DAYTON OH
45449-2428
US

IV. Provider business mailing address

235 TAUBER DR
CENTERVILLE OH
45458-2215
US

V. Phone/Fax

Practice location:
  • Phone: 937-866-3814
  • Fax:
Mailing address:
  • Phone: 937-286-4455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2512063
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number0487170
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: