Individual provider Active NPI

Valerie Anne Feldkamp, CADC, LSW-C

  • Counselor
  • Ellsworth, ME
National Provider Identifier
1003061201
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CAC7551 Issued in ME
Practice address
710 Bucksport Rd
Ellsworth, ME 04605-2722
Phone
(207) 667-6890
NPI assigned
Dec 2, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CAC7551MEMDCounselor
LSX10764MEMDSocial Worker

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSX10764 ME
Counselor 101Y00000X CAC7551 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

710 Bucksport Rd
Ellsworth, ME 04605-2722

Mailing address

PO Box 297
Ellsworth, ME 04605-0297
Phone (207) 667-6890

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2021.

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1003061201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046050297",
            "telephone_number": "207-667-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BUCKSPORT RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052722",
            "telephone_number": "207-667-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDKAMP",
        "first_name": "VALERIE",
        "middle_name": "ANNE",
        "credential": "CADC, LSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LSX10764",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "CAC7551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.