Active NPI
Richard Greene
- Social Worker
- Livermore Falls, ME
National Provider Identifier
1295024495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MC12688
- Practice address
- 32 Main St
Livermore Falls, ME 04254-1244 - Phone
- (207) 357-8653
- NPI assigned
- Mar 29, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MC12688 | ME | Primary |
| Social Worker | 104100000X | LS3689 | ME |
Addresses
Primary practice location
32 Main St
Livermore Falls, ME 04254-1244
Mailing address
PO Box 429
Rumford, ME 04276-0429
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LS3689 | ME | MD | Social Worker |
| MC12688 | ME | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Concepts, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Illness Community Based Residential Treatment Facility
- Rumford, ME
- NPI 1275774739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427414400000",
"number": "1295024495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 429",
"city": "RUMFORD",
"state": "ME",
"postal_code": "042760429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 MAIN ST",
"city": "LIVERMORE FALLS",
"state": "ME",
"postal_code": "042541244",
"telephone_number": "207-357-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-29",
"last_updated": "2015-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "MC12688",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "LS3689",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livermore Falls, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.