Silver Birch Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SILVER BIRCH COUNSELING LLC

Practice address

265 Mere Point Rd
Brunswick, ME 04011-7723

Phone

(207) 522-2639

NPI assigned

May 14, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ingrid Ordal Plunkett, LCSW

Title

Psychotherapist

Phone

(207) 522-2639

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ingrid Marie Ordal, LCSW

  • Clinical Social Worker
  • Brunswick, ME
  • NPI 1235548348
  Medicare reassignment NPD

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1336713387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 MERE POINT RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040117723",
            "telephone_number": "207-522-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 MERE POINT RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040117723",
            "telephone_number": "207-522-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER BIRCH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "PLUNKETT",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "ORDAL",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "207-522-2639",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Shields, OTR
• Kevin W Shum, OD
• Alina Shumsky, PH.D.
• Doreen Muir Siddall, NP
• Charles Sifton, L.AC.
• Leslie Joy Simmons, MA LCPC
• Miles A Simmons, MD
• Ellen M Simon, M.D.
• Amy Lynn Simpson, LCSW
• William P Simpson, PA-C

• Clinical Social Worker in Brunswick, ME
• Providers in Brunswick, 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 May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.