Inner Warrior, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INNER WARRIOR, LLC

Practice address

110 Main St Ste 1201C
Saco, ME 04072-3516

Phone

(207) 294-1718

NPI assigned

Sep 27, 2022

Organization subpart

No

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

Authorized official

Name

Katherine Lacasse, LCSWNPI 1992116479

Title

Owner/Provider

Phone

(207) 294-1718

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Lacasse, LCSW

  • Clinical Social Worker
  • Saco, ME
  • NPI 1992116479

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1124742879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST STE 1201C",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040723516",
            "telephone_number": "207-294-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST STE 1201C",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040723516",
            "telephone_number": "207-294-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER WARRIOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "LACASSE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "207-294-1718",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Saco, ME
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.