Active NPI
Leo Paul Taillon, L.C.S.W.
- Clinical Social Worker
- York, ME
National Provider Identifier
1104980127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC1309
- Practice address
- 433 US Route 1
Suite 401
York, ME 03909-1659 - Phone
- (207) 351-1538
- Fax
- (207) 351-1539
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC1309 | ME | Primary |
Addresses
Primary practice location
433 US Route 1
Suite 401
York, ME 03909-1659
Mailing address
433 US Route 1
Suite 401
York, ME 03909-1659
Phone (207) 351-1538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC1309 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208736000000",
"number": "1104980127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 US ROUTE 1",
"address_2": "SUITE 401",
"city": "YORK",
"state": "ME",
"postal_code": "039091659",
"telephone_number": "207-351-1538",
"fax_number": "207-351-1539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 US ROUTE 1",
"address_2": "SUITE 401",
"city": "YORK",
"state": "ME",
"postal_code": "039091659",
"telephone_number": "207-351-1538",
"fax_number": "207-351-1539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAILLON",
"first_name": "LEO",
"middle_name": "PAUL",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2008-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC1309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.