Active NPI
Joel R Burian, LCSW
- Clinical Social Worker
- Lewiston, ME
National Provider Identifier
1114909595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC7362
- Practice address
- 100 Campus Ave Ste a&B
Lewiston, ME 04240-6040 - Phone
- (207) 755-3434
- Fax
- (207) 755-3474
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
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 | LC7362 | ME | Primary |
Addresses
Primary practice location
100 Campus Ave Ste a&B
Lewiston, ME 04240-6040
Mailing address
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8950
Other practice location 1
42 Cedar St
Bangor, ME 04401-6433
Phone (207) 947-0366
Other practice location 2
42 Cedar St
Bangor, ME 04401-6433
Phone (207) 947-0366
Other practice location 3
57 Birch St Ste 102
Lewiston, ME 04240
Phone (207) 753-5400
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 |
|---|---|---|---|
| LC7362 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1114909595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7291",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042437291",
"telephone_number": "207-777-8950",
"fax_number": "207-777-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CAMPUS AVE STE A&B",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042406040",
"telephone_number": "207-755-3434",
"fax_number": "207-755-3474"
}
],
"practiceLocations": [
{
"address_1": "42 Cedar St",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044016433",
"country_code": "US",
"telephone_number": "207-947-0366",
"fax_number": "207-942-4350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "42 Cedar St",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044016433",
"country_code": "US",
"telephone_number": "207-947-0366",
"fax_number": "207-942-4350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "57 Birch St Ste 102",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ME",
"postal_code": "04240",
"country_code": "US",
"telephone_number": "207-753-5400",
"fax_number": "207-786-0489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURIAN",
"first_name": "JOEL",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC7362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.