Active NPI
Jennifer Lea Liguori, LCSW
- Social Worker
- Kennebunk, ME
National Provider Identifier
1245512342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LC13285
- Practice address
- 3 Shape Dr
Kennebunk, ME 04043-6601 - Phone
- (207) 467-8930
- Fax
- (207) 985-8459
- NPI assigned
- Sep 14, 2011
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LC13285 | ME | Primary |
Addresses
Primary practice location
3 Shape Dr
Kennebunk, ME 04043-6601
Mailing address
3 Shape Dr
Kennebunk, ME 04043-6601
Phone (207) 467-8930
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC13285 | ME | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452470400000",
"number": "1245512342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SHAPE DR",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436601",
"telephone_number": "207-467-8930",
"fax_number": "207-985-8459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SHAPE DR",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436601",
"telephone_number": "207-467-8930",
"fax_number": "207-985-8459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGUORI",
"first_name": "JENNIFER",
"middle_name": "LEA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-14",
"last_updated": "2016-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "LC13285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.