Jeremiah Coleman Hackett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC16444 Issued in ME

Practice address

227 Water St
Augusta, ME 04330-4651

Phone

(207) 213-2168

Fax

(866) 580-4247

NPI assigned

Sep 5, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1356690432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 WATER ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304651",
            "telephone_number": "207-314-9353",
            "fax_number": "866-580-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 WATER ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304651",
            "telephone_number": "207-213-2168",
            "fax_number": "866-580-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "JEREMIAH",
        "middle_name": "COLEMAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC16444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark David Gusack, M.D.
• Chloe Gustin
• Peter D Guzzetti, D.O.
• Holly Wadman Gwozdz, DO
• Stephen Hachey, R.PH.
• Christopher John Hafner, PA-C
• Jonathan Benjamin Halevy, M.D.
• Ellie Hall, PHARMD
• Lauren Hall, DO
• Roger Charles Hall, M.D.

• Clinical Social Worker in Augusta, ME
• Providers in Augusta, 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 Jan 31, 2017; 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.