Organization Active NPI

Philip R Deveau LCSW LLC

  • Clinical Social Worker
  • Saco, ME
National Provider Identifier
1346670122
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC11770 Issued in ME
Legal business name
PHILIP R DEVEAU LCSW LLC
Practice address
110 Main St
Suite 1200
Saco, ME 04072-3509
Phone
(207) 571-3008
Fax
(207) 571-3263
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Philiop Deveau, LCSW
Title
Owner/Provider
Phone
(207) 571-3008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LC11770 ME Primary

Addresses

Primary practice location

110 Main St
Suite 1200
Saco, ME 04072-3509

Mailing address

110 Main St
Suite 1200
Saco, ME 04072-3509
Phone (207) 571-3008

National Provider Directory

National Provider Directory

Locations

110 Main St
Ste 1200
Saco, ME 04072
Phone (207) 329-4941

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1346670122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "SUITE 1200",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040723509",
            "telephone_number": "207-571-3008",
            "fax_number": "207-571-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "SUITE 1200",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040723509",
            "telephone_number": "207-571-3008",
            "fax_number": "207-571-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP R DEVEAU LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "DEVEAU",
        "authorized_official_first_name": "PHILIOP",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "207-571-3008",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.