Individual provider Active NPI

Diane M Harris, L.C.S.W

  • Clinical Social Worker
  • Westbrook, ME
National Provider Identifier
1184734170
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC10208 Issued in ME
Practice address
836 Main St
Westbrook, ME 04092-2861
Phone
(207) 653-7885
Fax
(207) 892-2950
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC2976 ME
Clinical Social Worker 1041C0700X LC10208 ME Primary

Addresses

Primary practice location

836 Main St
Westbrook, ME 04092-2861

Mailing address

15 Running Brook Rd
Windham, ME 04062-5160
Phone (207) 653-7885

Other identifiers 1

IdentifierTypeStateIssuer
247560099OtherMEMAINECARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070301000312 ME Practitioner - Clinical Social Worker 4880796333 Reassigns benefits to 1 organization
Practice locations: Westbrook, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Main St
Suite 2
Westbrook, ME 04092-4763
Phone (207) 653-7885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CAC2976MEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Diane Harris LCSW Cadc LLC Clinical CurrentSince Jan 1, 2024 Accepting new patients
Transitions Counseling, Inc. Past Accepting new patients
Sweetser Past Accepting new patients

Locations

201 Main St
Ste 2
Westbrook, ME 04092
Phone (207) 572-5504

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1184734170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RUNNING BROOK RD",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625160",
            "telephone_number": "207-653-7885",
            "fax_number": "207-892-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922861",
            "telephone_number": "207-653-7885",
            "fax_number": "207-892-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DIANE",
        "middle_name": "M",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC2976",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC10208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE",
            "identifier": "247560099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

Verify at the official NPI Registry.