Susan Marie Dale, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN24780 Issued in ME

Practice address

400 Western Ave
South Portland, ME 04106-1704

Phone

(207) 774-7111

Fax

(207) 775-1985

NPI assigned

Sep 4, 2025

Last updated

Sep 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Behavioral Health Me, Inc.

  dba Bayside Comprehensive Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Portland, ME
  • NPI 1922007798
  NPD (past)

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1245110998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 COLEBROOK RD",
            "city": "NEW GLOUCESTER",
            "state": "ME",
            "postal_code": "042602609",
            "telephone_number": "207-774-7111",
            "fax_number": "207-775-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061704",
            "telephone_number": "207-774-7111",
            "fax_number": "207-775-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "RN24780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS State Capital LLC (CVS Pharmacy #16678)
• Brenda Gordon Cyr
• Jaclyn D'Annibale
• Alison Claire Daigle, D.O.
• Sherie Daigle
• Daniel Dallatore, PT, DPT, OCS
• Jennifer D. Daly
• Sarah E Daly, ATC
• Taylor Elizabeth Damiano, CNP
• Autumn Damron

• Addiction (Substance Use Disorder) Registered Nurse in South Portland, ME
• Providers in South Portland, ME by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.