Active NPI
Patricia A. Grenier, LCSW
- Clinical Social Worker
- Waterville, ME
National Provider Identifier
1265485296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC1247
- Practice address
- 88 Main St
Suite 100
Waterville, ME 04901-6665 - Phone
- (207) 873-1013
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC1247 | ME | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
88 Main St
Suite 100
Waterville, ME 04901-6665
Mailing address
20 Woodlawn Dr
Winslow, ME 04901-7600
Phone (207) 873-1013
Other identifiers 7
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5438255 | Other | ME | AETNA |
| 13014 | Other | ME | CIGNA |
| 004934 | Other | ME | PACIFICARE |
| 109929 | Other | ME | MAGELLAN |
| 112633 | Other | ME | BEHAVIORAL HEALTH NETWORK |
| 87726 | Other | ME | UNITED BEHAVIORAL HEALTH |
| 017348 | Other | ME | ANTHEM |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2014.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1265485296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WOODLAWN DR",
"city": "WINSLOW",
"state": "ME",
"postal_code": "049017600",
"telephone_number": "207-873-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 MAIN ST",
"address_2": "SUITE 100",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049016665",
"telephone_number": "207-873-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRENIER",
"first_name": "PATRICIA",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC1247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5438255",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "13014",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "004934",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "109929",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL HEALTH NETWORK",
"identifier": "112633",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "87726",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "017348",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.