Patricia A Canavan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC8211 Issued in ME

Practice address

162 Main St
Presque Isle, ME 04769-2817

Phone

(207) 768-3304

Fax

(207) 764-6340

NPI assigned

Jul 18, 2006

Last updated

May 24, 2013By 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Aroostook Mental Health Services, Inc.

  dba Amhc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Presque Isle, ME
  • NPI 1487601399

  Social Worker

  NPD (past)
• The Aroostook Medical Center

  dba Northern Light Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Presque Isle, ME
  • NPI 1982723037
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1093734345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 MAIN ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692817",
            "telephone_number": "207-768-3304",
            "fax_number": "207-764-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 MAIN ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692817",
            "telephone_number": "207-768-3304",
            "fax_number": "207-764-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAVAN",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC8211",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC8211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9454062",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093734345",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "200828",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Velda L Buckingham, MA, CCC-SLP
• Buckley Foods Inc (The Prescription Shoppe)
• Charmin E. Butts, MHRT-CSP
• Sarah R Cain, MHRT-CSP
• Barry L. Campbell, PA-C
• Stacee D Cantrell, LCPC
• Glenda Dee Capps, REGISTERED NURSE
• Caribou Nursing Home Inc (Presque Isle Rehab and Nursing Center)
• Heather Alice Caron, MSPT
• Kayla Lynn Caron, FNP

• Clinical Social Worker in Presque Isle, ME
• Providers in Presque Isle, 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 May 24, 2013; 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.