Active NPI
Dawn Burley
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1124415369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MC15041
- Practice address
- 181 Brackett St
Portland, ME 04102-3857 - Phone
- (207) 775-0105
- Fax
- (207) 775-1392
- NPI assigned
- Apr 24, 2015
- Sex
- Female
- 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 | MC15041 | ME | Primary |
Addresses
Primary practice location
181 Brackett St
Portland, ME 04102-3857
Mailing address
181 Brackett St
Portland, ME 04102-3857
Phone (207) 775-0105
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC15041 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1124415369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 BRACKETT ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023857",
"telephone_number": "207-775-0105",
"fax_number": "207-775-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 BRACKETT ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023857",
"telephone_number": "207-775-0105",
"fax_number": "207-775-1392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURLEY",
"first_name": "DAWN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-24",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC15041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.