Active NPI
Deborah Brown, LCSW, LADC
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1366681306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC9719
- Practice address
- 222 Saint John St
Ste 144
Portland, ME 04102-3000 - Phone
- (207) 240-7199
- NPI assigned
- Feb 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | LC3982 | ME | |
| Clinical Social Worker | 1041C0700X | LC9719 | ME | Primary |
Addresses
Primary practice location
222 Saint John St
Ste 144
Portland, ME 04102-3000
Mailing address
PO Box 1360
Windham, ME 04062-1360
Phone (207) 893-0386
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100107000340 | ME | Practitioner - Clinical Social Worker | 0143361535 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health Affiliates Maine, LLC
Practice addresses (Care Compare)
306 Rodman Rd
Auburn, ME 04210-3830
Phone (207) 333-3278
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3982 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| LC9719 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Affiliates Maine, LLC | Current | Accepting new patients | |
| Possibilities Counseling Services, Inc. | Past | Accepting new patients |
Locations
306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Auburn, ME
- NPI 1235209750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1366681306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1360",
"city": "WINDHAM",
"state": "ME",
"postal_code": "040621360",
"telephone_number": "207-893-0386",
"fax_number": "207-893-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 SAINT JOHN ST",
"address_2": "STE 144",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023000",
"telephone_number": "207-240-7199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DEBORAH",
"credential": "LCSW, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-15",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC3982",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC9719",
"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 Jan 4, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.