Susan Wiggin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC15143 Issued in ME

Practice address

190 Lancaster St
Portland, ME 04101-2418

Phone

(207) 553-5866

NPI assigned

Nov 5, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1509840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509840000000",
    "number": "1326550948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MONTROSE AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032442",
            "telephone_number": "207-423-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 LANCASTER ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012418",
            "telephone_number": "207-553-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGIN",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-05",
        "last_updated": "2017-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC15143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garry Dean Wickerd, PH.D.
• Taryn Wiedner, CRNA
• Patricia Mae Wieler, NP
• Joyce Wientzen, LCSW
• Heidi R Wierman, MD
• James W Wilberg, MD
• Allen Thomas Wilbur, LMSW-CC
• Andrew Wilcox
• Ariel E Wilcox, R.N.
• Gilbert M Wilcox, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2017; 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.