Life Ideals, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC10597 Issued in ME

Legal business name

LIFE IDEALS, LLC

Practice address

178 Lisbon St
3Rd Floor
Lewiston, ME 04240-7234

Phone

(207) 333-3507

NPI assigned

Jul 10, 2013

Organization subpart

No

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

Authorized official

Name

Karen Burke Lane, LCSW

Title

Owner

Phone

(207) 333-3507

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1114368867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 LISBON ST",
            "address_2": "3RD FLOOR",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407234",
            "telephone_number": "207-333-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 LISBON ST",
            "address_2": "3RD FLOOR",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407234",
            "telephone_number": "207-333-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IDEALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "BURKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-333-3507",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC10597",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC8317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Libby, LCSW
• John K Libby, PT
• Jonathan Libby, DNP, APRN, CPNP
• Michael Eric Libby
• Anita Lichman, LCSW
• Life Seasons, LLC
• Life, Elevated LLC
• Lighthouse Health Services LLC
• Rayleen Lima, LCSW, LADC, CCS
• Jenae Limoges

• Clinical Social Worker in Lewiston, ME
• Providers in Lewiston, 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 Jul 10, 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.