Organization Active NPI

Suzanne White, LCSW Corp

  • Clinical Social Worker
  • Augusta, ME
National Provider Identifier
1205182466
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC7959 Issued in ME
Legal business name
SUZANNE WHITE, LCSW CORP
Practice address
49 Oak St
Augusta, ME 04330-5118
Phone
(207) 649-4047
Fax
(207) 622-6290
NPI assigned
Jul 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Suzanne White, LCSW
Title
Clinical Social Worker
Phone
(207) 649-4047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LC7959 ME Primary

Addresses

Primary practice location

49 Oak St
Augusta, ME 04330-5118

Mailing address

138 Priest Hill Rd
Vassalboro, ME 04989-3305
Phone (207) 649-4047

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1205182466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 PRIEST HILL RD",
            "city": "VASSALBORO",
            "state": "ME",
            "postal_code": "049893305",
            "telephone_number": "207-649-4047",
            "fax_number": "207-622-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OAK ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305118",
            "telephone_number": "207-649-4047",
            "fax_number": "207-622-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE WHITE, LCSW CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "207-649-4047",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC7959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.