Individual provider Active NPI

Jody L. Bell, LADC

  • Clinical Social Worker
  • Presque Isle, ME
National Provider Identifier
1265573604
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MC21333 Issued in ME
Practice address
172 Academy St
Presque Isle, ME 04769-3165
Phone
(207) 540-1522
Fax
(207) 540-1523
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LADC # 3923 ME
Clinical Social Worker 1041C0700X MC21333 ME Primary

Addresses

Primary practice location

172 Academy St
Presque Isle, ME 04769-3165

Mailing address

PO Box 308
Caribou, ME 04736-0308
Phone (207) 325-1605

Other practice location 1

26 Thomas Ave
Caribou, ME 04736-1742
Phone (207) 325-1605

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

LicenseStateTypeSpecialty
LADC # 3923MEMDAddiction (Substance Use Disorder) Counselor
MC21333MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1265573604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047360308",
            "telephone_number": "207-325-1605",
            "fax_number": "207-492-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693165",
            "telephone_number": "207-540-1522",
            "fax_number": "207-540-1523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Thomas Ave",
            "address_purpose": "LOCATION",
            "city": "Caribou",
            "state": "ME",
            "postal_code": "047361742",
            "country_code": "US",
            "telephone_number": "207-325-1605",
            "fax_number": "207-492-2129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "JODY",
        "middle_name": "L.",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LADC # 3923",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC21333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.