Active NPI
Joshua D McQueen, LCSW
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1366096653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC20492
- Practice address
- 62 Elm St
Portland, ME 04101-3091 - Phone
- (207) 871-1200
- Fax
- (207) 871-1232
- NPI assigned
- Jul 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC20492 | ME | Primary |
Addresses
Primary practice location
62 Elm St
Portland, ME 04101-3091
Mailing address
901 Washington Ave Ste 100
Portland, ME 04103-2842
Phone (207) 871-1200
Other practice location 1
22 Bramhall St
Portland, ME 04102-3175
Phone (207) 662-0111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC20492 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spurwink Services Incorporated | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Spurwink Services Incorporated | Past | Accepting new patients |
Locations
62 Elm St
Portland, ME 04101
Phone (207) 535-2096
901 Washington Ave
Ste 100
Portland, ME 04103
Phone 20787112112145
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- General Acute Care Hospital
- Rockport, ME
- NPI 1578043378
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, ME
- NPI 1760507297
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, ME
- NPI 1316945090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1366096653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 WASHINGTON AVE STE 100",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032842",
"telephone_number": "207-871-1200",
"fax_number": "207-871-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 ELM ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013091",
"telephone_number": "207-871-1200",
"fax_number": "207-871-1232"
}
],
"practiceLocations": [
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023175",
"country_code": "US",
"telephone_number": "207-662-0111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCQUEEN",
"first_name": "JOSHUA",
"middle_name": "D",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-25",
"last_updated": "2024-12-12",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC20492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.