Adam Perkins, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC17610 Issued in ME

Practice address

760 Union St
Suite a
Bangor, ME 04401-3125

Phone

(207) 989-2946

NPI assigned

Aug 5, 2016

Last updated

Nov 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1124572300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GETCHELL ST # 16",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122206",
            "telephone_number": "207-659-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 UNION ST",
            "address_2": "SUITE A",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013125",
            "telephone_number": "207-989-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "ADAM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-05",
        "last_updated": "2023-11-03",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17610",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC16201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Peppers
• Ethan Thomas Percy, DO
• Alynna Mariz Samala Perez, MD
• Performance Physical Therapy and Sports Rehab Inc.
• Performance Therapy Institute LLC
• Jennifer Perkins
• Wendolyn Ann Perkins, APRN-CNP
• Jill Perrone, PNP
• Courtney Perry
• Jamie Perry, FNP-C

• Clinical Social Worker in Bangor, ME
• Providers in Bangor, 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 Nov 3, 2023; 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.