Individual provider Active NPI

Danielle Miville, LCSW

  • Clinical Social Worker
  • Gorham, ME
National Provider Identifier
1023848074
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC23125 Issued in ME
Practice address
7 Railroad Ave Ste 317
Gorham, ME 04038-1546
Phone
(207) 222-0309
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC23125 ME Primary

Addresses

Primary practice location

7 Railroad Ave Ste 317
Gorham, ME 04038-1546

Mailing address

4 Cranberry LN
Poland, ME 04274-6171
Phone (207) 329-9603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250310000458 ME Practitioner - Clinical Social Worker 2264953009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Family Center of MaineGroup PAC ID 1951822386, 11 clinicians

Practice addresses (Care Compare)

7 Railroad Ave
Suite 317
Gorham, ME 04038-1546
Phone (207) 222-0309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC23125MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Center of Maine Clinical CurrentSince Dec 28, 2024 Accepting new patients

Locations

7 Railroad Ave
Ste 317
Gorham, ME 04038
Phone (207) 222-0309

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1023848074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CRANBERRY LN",
            "city": "POLAND",
            "state": "ME",
            "postal_code": "042746171",
            "telephone_number": "207-329-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RAILROAD AVE STE 317",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381546",
            "telephone_number": "207-222-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIVILLE",
        "first_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC23125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gorham, ME

Sources for this page

Verify at the official NPI Registry.