Allen Robert Northup, LCC LPE

Primary specialty

Social WorkerTaxonomy code 104100000X

License

272-LCPC Issued in ME

Practice address

169 Park Row
Brunswick, ME 04011

Phone

(207) 729-5426

Fax

(207) 725-2473

NPI assigned

Aug 24, 2006

Sex

Male

Sole proprietor

No

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023125242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 PARK ROW",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112039",
            "telephone_number": "207-729-5426",
            "fax_number": "207-725-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 PARK ROW",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "04011",
            "telephone_number": "207-729-5426",
            "fax_number": "207-725-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHUP",
        "first_name": "ALLEN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LCC LPE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "272-LCPC",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "741-LPE",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Noel, LCSW
• Alexis Leigh Nolan, CNM
• Michael Joseph Nolan, MD
• Northbridge Avita Brunswick II LLC (Avita of Brunswick)
• Northbridge Brunswick Assisted Living (Sunnybrook)
• Jaime Norton, OTR/L
• NR Maine LLC
• Guy Nuki, MD
• Jasper Dylan Nutt, MD
• Kelly Taylor Nuzzo, HIS

• Social Worker in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.