Active NPI
Rebecca L Drouin, LCSW
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1003914029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC11549
- Practice address
- 17 Bishop St
Portland, ME 04103-2659 - Phone
- (207) 871-1235
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MC10471 | ME | |
| Clinical Social Worker | 1041C0700X | LC11549 | ME | Primary |
Addresses
Primary practice location
17 Bishop St
Portland, ME 04103-2659
Mailing address
25 Boxer Lane
Turner, ME 04282
Phone (207) 225-2479
Other names 1
- Rebecca Roy
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC11549 | ME | MD | Clinical Social Worker |
| MC10471 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1003914029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BOXER LANE",
"city": "TURNER",
"state": "ME",
"postal_code": "04282",
"telephone_number": "207-225-2479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 BISHOP ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032659",
"telephone_number": "207-871-1235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DROUIN",
"first_name": "REBECCA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC10471",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC11549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "ROY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.