Organization Active NPI

Nancy M Plouffe, LLC

  • Clinical Social Worker
  • Blue Hill, ME
National Provider Identifier
1164874137
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC3637 Issued in ME
Legal business name
NANCY M PLOUFFE, LLC
Practice address
6 Mines Rd
Blue Hill, ME 04614-6408
Phone
(207) 632-4528
Fax
(207) 374-2296
NPI assigned
Jul 1, 2016
Last updated
Aug 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Nancy Plouffe, LCSWNPI 1275690398
Title
Owner
Phone
(207) 374-2296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC3637 ME Primary

Addresses

Primary practice location

6 Mines Rd
Blue Hill, ME 04614-6408

Mailing address

PO Box 1102
Blue Hill, ME 04614-1102
Phone (207) 632-4528

Other identifiers 2

IdentifierTypeStateIssuer
026262OtherMEANTHEM BLUE CROSS
7406163OtherMEAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160924000329 ME Part B Supplier - Clinic/Group Practice 2365739901 Receives reassigned benefits from 1 practitioner
Practice locations: Blue Hill, ME

National Provider Directory

National Provider Directory

Locations

6 Mines Rd
Blue Hill, ME 04614
Phone (207) 374-2296

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1164874137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1102",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046141102",
            "telephone_number": "207-632-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MINES RD",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046146408",
            "telephone_number": "207-632-4528",
            "fax_number": "207-374-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY M PLOUFFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "PLOUFFE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-374-2296",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC3637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "026262",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7406163",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Hill, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.