Individual provider Active NPI

June Thornton-Marsh, LCSW

  • Clinical Social Worker
  • Waterville, ME
National Provider Identifier
1245201037
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC00003349 Issued in ME
Practice address
44 Main St, Suite 201
Waterville, ME 04901-6673
Phone
(207) 877-9430
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC00003349 ME Primary

Addresses

Primary practice location

44 Main St, Suite 201
Waterville, ME 04901-6673

Mailing address

44 Main St, Suite 201
Waterville, ME 04901-6673
Phone (207) 877-9430

Other identifiers 1

IdentifierTypeStateIssuer
237600099MedicaidME

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
I20050829000719 ME Practitioner - Clinical Social Worker 2163453275 Practice locations: Waterville, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC00003349MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetser PastSince Mar 12, 2012 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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1245201037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MAIN ST, SUITE 201",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016673",
            "telephone_number": "207-877-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MAIN ST, SUITE 201",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016673",
            "telephone_number": "207-877-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON-MARSH",
        "first_name": "JUNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC00003349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237600099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.