Shaker Pond Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC3505 Issued in ME

Legal business name

SHAKER POND COUNSELING LLC

Practice address

200 Waterboro Rd
Alfred, ME 04002-3247

Phone

(207) 324-8222

NPI assigned

Feb 7, 2018

Organization subpart

No

Name

Lana Clough, LCSWNPI 1003827254

Title

Owner

Phone

(207) 324-8222

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

• Lana Clough, LCSW

  • Clinical Social Worker
  • Alfred, ME
  • NPI 1003827254

  Clinical

  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 7, 2018.

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1134628811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53",
            "city": "ALFRED",
            "state": "ME",
            "postal_code": "040020053",
            "telephone_number": "207-324-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WATERBORO RD",
            "city": "ALFRED",
            "state": "ME",
            "postal_code": "040023247",
            "telephone_number": "207-324-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKER POND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "CLOUGH",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-324-8222",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC3505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara G Landon, PSY.D
• Jody Ehrich Levy
• Steve Mazza, LADC, CCS
• Jennifer Ouellette, LCPC,LADC,LSW,CCS
• Renee Dostie Parent, LCSW
• Tamara Brennan Sharp, RDH, IPDH
• Denise Marie St Pierre
• Town of Alfred
• Wayne Rufus
• William S Winslow, LMSW, CADC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.