Keara Anne Dupont Anctil, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC8042 Issued in ME

Practice address

825 Main St Ste 4
Westbrook, ME 04092-2873

Phone

(208) 228-3880

NPI assigned

Sep 29, 2006

Last updated

Oct 7, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Keara Anne Souther Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shoreline Counseling, LLC

  • Clinical Social Worker
  • Westbrook, ME
  • NPI 1619685138
  NPD Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1144312968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WEBSTER ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922432",
            "telephone_number": "207-318-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 MAIN ST STE 4",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922873",
            "telephone_number": "208-228-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPONT ANCTIL",
        "first_name": "KEARA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC8042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEARA",
            "last_name": "SOUTHER",
            "middle_name": "ANNE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ducor Dent LLC
• Megan Duest, LMSW-CC
• Mackenzie Dawson Dufresne, PMHNP
• Matthew C Dugan, D.O.
• Molly Grace Dugre, FNP-C
• Sarah Elizabeth Dyer, LCSW-CC
• Marlow Andre Easterling, MD
• Easy Life LLC
• Easy Life LLC
• Nicole Eckman, R.D., C.D.E.

• Clinical Social Worker in Westbrook, ME
• Providers in Westbrook, 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 Oct 7, 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.

Verify at the official NPI Registry.