Connie Malenica

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

LC4028 Issued in ME

Practice address

108 Pleasant St
Fort Kent, ME 04743-1576

Phone

(207) 834-3481

Fax

(207) 834-7357

NPI assigned

Aug 6, 2010

Last updated

Aug 6, 2010By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• M.S.a.D.#27

  • Local Education Agency (LEA)
  • Fort Kent, ME
  • NPI 1124231923
  NPD (past)
• M.S.a.D.#27

  • Student in an Organized Health Care Education/Training Program
  • Fort Kent, ME
  • NPI 1578785846
  NPD (past)

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1083928691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PLEASANT ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431576",
            "telephone_number": "207-834-3481",
            "fax_number": "207-834-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PLEASANT ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431576",
            "telephone_number": "207-834-3481",
            "fax_number": "207-834-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALENICA",
        "first_name": "CONNIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "ME",
            "license": "LC4028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Lozier, OT
• M.S.a.D.#27
• M.S.a.D.#27
• Cheryl J Maclean, MSW - LCSW
• Vicki L Maier, OTR/L
• Jennifer Lee Malmborg, RN-BSN
• Maritime Radiology Associates PC
• David Joshua Mayich, MD, FAAOS
• Paul H. McBreairty, MD
• Connie L. McLellan, R.D., L.D.

• School Social Worker in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• School Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.