Dianna Alexander, LCSW
Individual provider Active NPI Clinical Social Worker · Augusta, ME
NPI 1104472083 · NPPES record last updated Aug 15, 2019
Key facts
- NPI
- 1104472083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC4344 (ME)
- Practice address
- 35 Medical Center Pkwy
Augusta, ME 04330-8160 - Phone
- (207) 248-0060
- Fax
- (207) 248-5081
- NPI assigned
- Aug 15, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4344 | ME | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC4344 | ME | Yes |
Addresses
Primary practice location
35 Medical Center Pkwy
Augusta, ME 04330-8160
Mailing address
35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone (207) 248-0060
NPI Registry JSON
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1104472083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-248-0060",
"fax_number": "207-248-5081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-248-0060",
"fax_number": "207-248-5081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "DIANNA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-15",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC4344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
- Michael Akanji
- Micheal Akinboro
- Mohammed Al-Nufal
- Nicole Corinne Albee
- H Katrine Alcaide
- Jessica M.W. Alexander
- Lucy Algeo
- Syed Mudassir Ali
- All Out Entrerprises LLC
- Angelica Ann Allen
All providers in Augusta, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.