Active NPI
Alex D Feinberg, LMSW-CC
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1245595255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MC13566
- Practice address
- 470 Forest Ave
Suite 300
Portland, ME 04101-2009 - Phone
- (207) 854-1030
- Fax
- (207) 899-4623
- NPI assigned
- Jul 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | MC13566 | ME | Primary |
Addresses
Primary practice location
470 Forest Ave
Suite 300
Portland, ME 04101-2009
Mailing address
470 Forest Ave
Suite 300
Portland, ME 04101-2009
Phone (207) 854-1030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 21, 2024 through May 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC13566 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341532800000",
"number": "1245595255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 FOREST AVE",
"address_2": "SUITE 300",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012009",
"telephone_number": "207-854-1030",
"fax_number": "207-899-4623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 FOREST AVE",
"address_2": "SUITE 300",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012009",
"telephone_number": "207-854-1030",
"fax_number": "207-899-4623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEINBERG",
"first_name": "ALEX",
"middle_name": "D",
"credential": "LMSW-CC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-06",
"last_updated": "2012-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC13566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.