Active NPI
Nancy Blanchard, LCSW
- Clinical Social Worker
- Biddeford, ME
National Provider Identifier
1285707844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC3341
- Practice address
- 2 Springbrook Drive
Biddeford, ME 04005-9443 - Phone
- (207) 282-1500
- Fax
- (207) 282-2581
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 | LC3341 | ME | Primary |
Addresses
Primary practice location
2 Springbrook Drive
Biddeford, ME 04005-9443
Mailing address
78 Atlantic Place
South Portland, ME 04106-2316
Phone (207) 661-6654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204290099 | Medicaid | ME |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429401600000",
"number": "1285707844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 ATLANTIC PLACE",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062316",
"telephone_number": "207-661-6654",
"fax_number": "207-842-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SPRINGBROOK DRIVE",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059443",
"telephone_number": "207-282-1500",
"fax_number": "207-282-2581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHARD",
"first_name": "NANCY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2015-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC3341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204290099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.