Active NPI
Jeffrey Martin Hawes
- Social Worker
- Lervistm, ME
National Provider Identifier
1255536397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MC 5653
- Practice address
- 35 Westminster Street, Suite B
Lervistm, ME 04240 - Phone
- (207) 786-8122
- Fax
- (207) 786-8164
- NPI assigned
- Jun 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MC5653 | ME | |
| Social Worker | 104100000X | MC 5653 | ME | Primary |
Addresses
Primary practice location
35 Westminster Street, Suite B
Lervistm, ME 04240
Mailing address
324 Gannett Drive, Suite 300
South Portland, ME 04106
Phone (207) 771-5711
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC 5653 | ME | MD | Social Worker |
| MC5653 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1255536397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 GANNETT DRIVE, SUITE 300",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "04106",
"telephone_number": "207-771-5711",
"fax_number": "207-771-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 WESTMINSTER STREET, SUITE B",
"city": "LERVISTM",
"state": "ME",
"postal_code": "04240",
"telephone_number": "207-786-8122",
"fax_number": "207-786-8164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWES",
"first_name": "JEFFREY",
"middle_name": "MARTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC5653",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "MC 5653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.