Organization Active NPI

Monique Anne Spina LCSW

  • Clinical Social Worker
  • Biddeford, ME
National Provider Identifier
1336372077
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC8153 Issued in ME
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

Updated by the provider on Aug 28, 2009

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
272050099MedicaidME

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.