Active NPI
Kathleen Derrig True, LCSW
- Clinical Social Worker
- Biddeford, ME
National Provider Identifier
1174149793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC21977
- Practice address
- 22 W Cole Rd Ste 103
Biddeford, ME 04005-9431 - Phone
- (207) 571-9923
- NPI assigned
- Jun 19, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MC18493 | ME | |
| Clinical Social Worker | 1041C0700X | LC21977 | ME | Primary |
Addresses
Primary practice location
22 W Cole Rd Ste 103
Biddeford, ME 04005-9431
Mailing address
123 Andover Rd
Westbrook, ME 04092-3850
Phone (207) 761-2200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EMR |
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 |
|---|---|---|---|
| LC21977 | ME | MD | Clinical Social Worker |
| MC18493 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oceanside Community Services | Current | Accepting new patients |
Locations
22 W Cole Rd
Ste 103
Biddeford, ME 04005
Phone (207) 571-9923
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Biddeford, ME
- NPI 1821324815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1174149793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 ANDOVER RD",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040923850",
"telephone_number": "207-761-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 W COLE RD STE 103",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059431",
"telephone_number": "207-571-9923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUE",
"first_name": "KATHLEEN",
"middle_name": "DERRIG",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-19",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC18493",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC21977",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EMR",
"affiliation": "N",
"endpointDescription": "Electronic Health records with patient portal",
"address_1": "22 W Cole Rd Ste 103",
"city": "Biddeford",
"state": "ME",
"country_code": "US",
"postal_code": "040059431",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.