Eileen M Manglass, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC9716 Issued in ME

Practice address

79 Main St Ste 207
Auburn, ME 04210-5834

Phone

(207) 653-0776

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Happy Heart Health Center Inc.

  • Adult Mental Health Clinic/Center
  • Auburn, ME
  • NPI 1891046488
  NPD (past) Authorized official
• Spurwink Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1760507297
  NPD (past)
• Tri-County Mental Health Services

  • Mental Health Counselor
  • Lewiston, ME
  • NPI 1215979158
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1184708653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MAIN ST STE 207",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105834",
            "telephone_number": "207-653-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MAIN ST STE 207",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105834",
            "telephone_number": "207-653-0776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Main St",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042105883",
            "country_code": "US",
            "telephone_number": "207-689-2109",
            "fax_number": "207-689-2109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGLASS",
        "first_name": "EILEEN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC9716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Klein Unabia Magsalay, PT
• Gary Brian Magur
• Tatjana Cvjetinovic Mahon
• Maine Oral & Maxillofacial Surgery Associates, P.a.
• John Robert Malta, D.O.
• Manual Physical Therapy, LLC
• Katherine Eileen Marble, LCSW
• Paula Marcus-Platz, LCSW
• Andrea Millett Marecaux, LCSW
• Howard R Margolskee, MD

• Clinical Social Worker in Auburn, ME
• Providers in Auburn, 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 Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.