Emerge & Transform

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMERGE & TRANSFORM

Practice address

174 Broadway Ste 2
Farmington, ME 04938-5911

Phone

(207) 860-4447

NPI assigned

Jun 15, 2023

Organization subpart

No

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

Authorized official

Name

Mary Small, LCSW

Title

Owner/LCSW

Phone

(207) 860-4447

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1104501436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 BROADWAY STE 2",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049385911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BROADWAY STE 2",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049385911",
            "telephone_number": "207-860-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE & TRANSFORM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "207-860-4447",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elle Hansen, LLC
• Dawn Elyse Elliott, MD
• Mary Ellis, PT
• Melissa Ellis, FNP
• Samantha Ellis
• Carroll A English, M.D.
• Anfin Erickson, M.D.
• Allie N Evans, MD
• Velma Ann Evans, LCSW
• Evergreen Behavioral Services

• Clinical Social Worker in Farmington, ME
• Providers in Farmington, 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 Jun 15, 2023; 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.