Active NPI
Suellen R Worley, LCSW, LADC
- Clinical Social Worker
- Westbrook, ME
National Provider Identifier
1356536239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC11189
- Practice address
- 820 Main St
Suite 3
Westbrook, ME 04092-3430 - Phone
- (207) 653-2832
- NPI assigned
- Sep 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC4552 | ME | |
| Clinical Social Worker | 1041C0700X | LC11189 | ME | Primary |
Addresses
Primary practice location
820 Main St
Suite 3
Westbrook, ME 04092-3430
Mailing address
820 Main St
Suite 3
Westbrook, ME 04092-3430
Other names 1
- Suellen R Alley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1356536239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 MAIN ST",
"address_2": "SUITE 3",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040923430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 MAIN ST",
"address_2": "SUITE 3",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040923430",
"telephone_number": "207-653-2832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORLEY",
"first_name": "SUELLEN",
"middle_name": "R",
"credential": "LCSW, LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC4552",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC11189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUELLEN",
"last_name": "ALLEY",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.