Active NPI
Marianne Fricke, LCSW
- Social Worker
- Bangor, ME
National Provider Identifier
1295895340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LC7263
- Practice address
- 268 State St
Room 2-4
Bangor, ME 04401-5417 - Phone
- (207) 990-0188
- Fax
- (207) 990-6604
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LC7263 | ME | Primary |
Addresses
Primary practice location
268 State St
Room 2-4
Bangor, ME 04401-5417
Mailing address
268 State St
Room 2-4
Bangor, ME 04401-5417
Phone (207) 990-0188
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291250099 | Medicaid | ME | |
| 332129 | Other | ME | TRI-CARE |
| 7286556 | Other | ME | AETNA |
| 100017 | Other | ME | ANTHEM |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Behavioral Healthcare, LLC | Past | Accepting new patients | |
| Evergreen Healing Center, LLC | Past | Accepting new patients | |
| Sweetser | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Bangor, ME
- NPI 1215102850
-
- Family Nurse Practitioner
- Bangor, ME
- NPI 1578892147
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saco, ME
- NPI 1538122445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1295895340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 STATE ST",
"address_2": "ROOM 2-4",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015417",
"telephone_number": "207-990-0188",
"fax_number": "207-990-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 STATE ST",
"address_2": "ROOM 2-4",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015417",
"telephone_number": "207-990-0188",
"fax_number": "207-990-6604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRICKE",
"first_name": "MARIANNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "LC7263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "291250099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI-CARE",
"identifier": "332129",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7286556",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "100017",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.