Active NPI
Nathanna Malina McGivney, LCSW
- Clinical Social Worker
- South Portland, ME
National Provider Identifier
1144534033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC12306
- Practice address
- 50 Lydia LN
South Portland, ME 04106-2156 - Phone
- (207) 766-6757
- Fax
- (207) 874-1181
- NPI assigned
- Aug 3, 2010
- 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 | LC12306 | ME | Primary |
Addresses
Primary practice location
50 Lydia LN
South Portland, ME 04106-2156
Mailing address
50 Lydia LN
South Portland, ME 04106-2156
Phone (207) 766-6757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432358599 | Medicaid | ME |
Other names 1
- Nathanna Malina Allen
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC12306 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1144534033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 LYDIA LN",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062156",
"telephone_number": "207-766-6757",
"fax_number": "207-874-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 LYDIA LN",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062156",
"telephone_number": "207-766-6757",
"fax_number": "207-874-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGIVNEY",
"first_name": "NATHANNA",
"middle_name": "MALINA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-03",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC12306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432358599",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NATHANNA",
"last_name": "ALLEN",
"middle_name": "MALINA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.