Active NPI
Cheryl J Maclean, MSW - LCSW
- Clinical Social Worker
- Fort Kent, ME
National Provider Identifier
1215054804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC11915
- Practice address
- 139 Market St
Suite 109
Fort Kent, ME 04743-1410 - Phone
- (207) 834-3186
- Fax
- (207) 834-7190
- NPI assigned
- Mar 26, 2007
- 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 | LC11915 | ME | Primary |
Addresses
Primary practice location
139 Market St
Suite 109
Fort Kent, ME 04743-1410
Mailing address
139 Market St
Suite 109
Fort Kent, ME 04743-1410
Phone (207) 834-3186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431901199 | Other | ME | MAINE CARE NUMBER |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC11915 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aroostook Mental Health Services, Inc. | Clinical | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Presque Isle, ME
- NPI 1487601399
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228953600000",
"number": "1215054804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 MARKET ST",
"address_2": "SUITE 109",
"city": "FORT KENT",
"state": "ME",
"postal_code": "047431410",
"telephone_number": "207-834-3186",
"fax_number": "207-834-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 MARKET ST",
"address_2": "SUITE 109",
"city": "FORT KENT",
"state": "ME",
"postal_code": "047431410",
"telephone_number": "207-834-3186",
"fax_number": "207-834-7190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLEAN",
"first_name": "CHERYL",
"middle_name": "J",
"credential": "MSW - LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2008-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC11915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE CARE NUMBER",
"identifier": "431901199",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Kent, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.