Active NPI
Monique Anne Spina LCSW
- Clinical Social Worker
- Biddeford, ME
National Provider Identifier
1336372077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC8153
- Legal business name
- MONIQUE ANNE SPINA LCSW
- Practice address
- 2 Main St
Suite 17-302
Biddeford, ME 04005-2631 - Phone
- (207) 468-7236
- NPI assigned
- Aug 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monique Anne Spina, LCSW
- Title
- Sole Proprietor
- Phone
- (207) 468-7236
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC8153 | ME | Primary |
Addresses
Primary practice location
2 Main St
Suite 17-302
Biddeford, ME 04005-2631
Mailing address
PO Box 623
Saco, ME 04072-0623
Phone (207) 468-7236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272050099 | Medicaid | ME |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251417600000",
"number": "1336372077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 623",
"city": "SACO",
"state": "ME",
"postal_code": "040720623",
"telephone_number": "207-468-7236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MAIN ST",
"address_2": "SUITE 17-302",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040052631",
"telephone_number": "207-468-7236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONIQUE ANNE SPINA LCSW",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-28",
"last_updated": "2009-08-28",
"status": "A",
"authorized_official_last_name": "SPINA",
"authorized_official_first_name": "MONIQUE",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "207-468-7236",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC8153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272050099",
"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 Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.