Active NPI
Mandy Ladd
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1285917724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MC13085
- Practice address
- 470 Forest Ave Ste 300
Portland, ME 04101-2009 - Phone
- (207) 854-1030
- Fax
- (207) 854-1001
- NPI assigned
- Sep 21, 2011
- 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 | MC13085 | ME | Primary |
Addresses
Primary practice location
470 Forest Ave Ste 300
Portland, ME 04101-2009
Mailing address
820 Main St
Westbrook, ME 04092-3430
Phone (207) 854-1030
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 |
|---|---|---|---|
| MC13085 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1285917724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 MAIN ST",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040923430",
"telephone_number": "207-854-1030",
"fax_number": "207-854-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 FOREST AVE STE 300",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012009",
"telephone_number": "207-854-1030",
"fax_number": "207-854-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADD",
"first_name": "MANDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC13085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.