Maria A Moustrouphis, LCSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ME324956 Issued in ME

Practice address

77 Vermont Ave
Portland, ME 04103-3922

Phone

(207) 409-9487

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1003037912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VERMONT AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VERMONT AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033922",
            "telephone_number": "207-409-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSTROUPHIS",
        "first_name": "MARIA",
        "middle_name": "A",
        "credential": "LCSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "ME317297",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "ME324956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher D Motyl, DO
• Joann Elaine Moulton, RDH
• Kelsey Nicole Moulton
• Mercia Eliezer Moumbele Ngolo, INTERPRETER
• Ryan James Mountjoy, M.D.
• Jessica Moxcey, PHARMD
• Mary Kay Moyer, CRNA
• Tyra Mrozinski
• Jason David Mudge, PA
• Gail Marie Mueller, LCSW

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.