Active NPI
Elizabeth Sequoia Dance, LMSW/CC
- Clinical Social Worker
- Auburn, ME
National Provider Identifier
1205063013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MC7864
- Practice address
- 1120 Center St
Auburn, ME 04210-6528 - Phone
- (207) 333-3833
- Fax
- (207) 333-6939
- NPI assigned
- Jun 18, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MC7864 | ME | Primary |
Addresses
Primary practice location
1120 Center St
Auburn, ME 04210-6528
Mailing address
PO Box 958
Lewiston, ME 04243-0958
Phone (207) 333-3833
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
| License | State | Type | Specialty |
|---|---|---|---|
| MC7864 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245283200000",
"number": "1205063013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 958",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042430958",
"telephone_number": "207-333-3833",
"fax_number": "207-333-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 CENTER ST",
"city": "AUBURN",
"state": "ME",
"postal_code": "042106528",
"telephone_number": "207-333-3833",
"fax_number": "207-333-6939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANCE",
"first_name": "ELIZABETH",
"middle_name": "SEQUOIA",
"name_prefix": "Ms.",
"credential": "LMSW/CC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-18",
"last_updated": "2009-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC7864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.