Individual provider Active NPI

Alessandra M Forsthoefel, LMSW-CC

  • Clinical Social Worker
  • Brunswick, ME
National Provider Identifier
1154005155
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MC22433 Issued in ME
Practice address
66 Baribeau Dr
Brunswick, ME 04011-3230
Phone
(207) 373-6950
Fax
(207) 373-6959
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MC22433 ME Primary

Addresses

Primary practice location

66 Baribeau Dr
Brunswick, ME 04011-3230

Mailing address

66 Baribeau Dr
Brunswick, ME 04011-3230
Phone (207) 373-6950

Other practice location 1

20 Bristol Rd
Damariscotta, ME 04543-4000
Phone (207) 563-2311

Other names 1

  • Alessandra M Frank Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC22433MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1154005155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BARIBEAU DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113230",
            "telephone_number": "207-373-6950",
            "fax_number": "207-373-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BARIBEAU DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113230",
            "telephone_number": "207-373-6950",
            "fax_number": "207-373-6959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Bristol Rd",
            "address_purpose": "LOCATION",
            "city": "Damariscotta",
            "state": "ME",
            "postal_code": "045434000",
            "country_code": "US",
            "telephone_number": "207-563-2311",
            "fax_number": "207-563-2324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORSTHOEFEL",
        "first_name": "ALESSANDRA",
        "middle_name": "M",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC22433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALESSANDRA",
            "last_name": "FRANK",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.