Jennifer M Tingley Prince, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LC10171 Issued in ME

Practice address

62 Elm St
Portland, ME 04101-3091

Phone

(207) 553-7056

Fax

(207) 773-2082

NPI assigned

May 31, 2006

Last updated

Aug 28, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1275570400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 FRANKLIN ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014909",
            "telephone_number": "207-942-3816",
            "fax_number": "207-561-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 ELM ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013091",
            "telephone_number": "207-553-7056",
            "fax_number": "207-773-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGLEY PRINCE",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC10171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM LEGACY NUMBER",
            "identifier": "098304",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431515399",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Tierney-Trevor, LCSW
• Danyelle M. Tierney, DO
• Linda RF Tiffany, LCPC, LADC
• Angela Pizzo Tillotson, FNP
• Jeff Tiner, LCSW
• Karen Tinkham, RPH
• Laurel R Tinkham, LCPC
• Lori Michelle Tirado, LP
• Annya D Tisher, MD
• Paul W Tisher, MD

• Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.