Amy L Thiele, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC11608 Issued in ME

Practice address

1155 Lisbon St
Lewiston, ME 04240-5025

Phone

(207) 783-9141

Fax

(207) 783-4660

NPI assigned

Dec 1, 2006

Last updated

Jan 3, 2017By the provider in NPPES

Sex

Female

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)

Enrolled

State licenses

Practice roles

Locations

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

• Spurwink Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1760507297
  NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1073681854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 GARDEN CIR",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042108322",
            "telephone_number": "207-577-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405025",
            "telephone_number": "207-783-9141",
            "fax_number": "207-783-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELE",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC10523",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine C Therriault
• Autumn J Therrien, RDH
• Ethan Therrien, LCPC-C
• Bette Jane Thibeault, LMT
• Gregory Thibodeau, MD
• Jija Thomas, MD
• Michael A Thomas, LCPC
• Susan A. Thomas, MD
• Tison Thomas, D.O.
• William P Thomas, M.D.

• Clinical Social Worker in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.