Active NPI
Paula Anderson
- Clinical Social Worker
- Brunswick, ME
National Provider Identifier
1013242015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC9980
- Practice address
- 14 Maine St
Suite 202
Brunswick, ME 04011-2049 - Phone
- (207) 373-0620
- Fax
- (207) 373-0628
- NPI assigned
- Oct 8, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC9980 | ME | Primary |
Addresses
Primary practice location
14 Maine St
Suite 202
Brunswick, ME 04011-2049
Mailing address
14 Maine St
Suite 202
Brunswick, ME 04011-2049
Phone (207) 373-0620
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 |
|---|---|---|---|
| LC9980 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1013242015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MAINE ST",
"address_2": "SUITE 202",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112049",
"telephone_number": "207-373-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 MAINE ST",
"address_2": "SUITE 202",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112049",
"telephone_number": "207-373-0620",
"fax_number": "207-373-0628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "PAULA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-08",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC9980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.