Active NPI
Pamela Smith-Noel
- Clinical Social Worker
- Rockland, ME
National Provider Identifier
1114011996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC6887
- Practice address
- 328 Main St
Studio 203
Rockland, ME 04841-3365 - Phone
- (207) 594-9095
- Fax
- (207) 594-9095
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- 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 | LC6887 | ME | Primary |
Addresses
Primary practice location
328 Main St
Studio 203
Rockland, ME 04841-3365
Mailing address
328 Main St
Studio 203
Rockland, ME 04841-3365
Phone (207) 594-9095
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 424270099 | Medicaid | ME | |
| 104000000 | Medicaid | ME |
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 |
|---|---|---|---|
| LC6887 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweetser | Past | Accepting new patients | |
| Protea Behavioral Health Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Bangor, ME
- NPI 1700814712
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saco, ME
- NPI 1538122445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1114011996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 MAIN ST",
"address_2": "STUDIO 203",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048413365",
"telephone_number": "207-594-9095",
"fax_number": "207-594-9095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 MAIN ST",
"address_2": "STUDIO 203",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048413365",
"telephone_number": "207-594-9095",
"fax_number": "207-594-9095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-NOEL",
"first_name": "PAMELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC6887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "424270099",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104000000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.