Active NPI
Michelle Larrivee, LCSW
- Clinical Social Worker
- Farmington, ME
National Provider Identifier
1366849978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC18224
- Practice address
- 144 High St
Farmington, ME 04938-1946 - Phone
- (207) 778-3556
- Fax
- (207) 778-3558
- NPI assigned
- Nov 25, 2014
- Last updated
- Nov 20, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MC15727 | ME | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC5568 | ME | |
| Clinical Social Worker | 1041C0700X | LC18224 | ME | Primary |
Addresses
Primary practice location
144 High St
Farmington, ME 04938-1946
Mailing address
PO Box 2008
Lewiston, ME 04241-2008
Phone (207) 783-9141
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 |
|---|---|---|---|
| MC15727 | ME | MD | Counselor |
| CAC5568 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| LC18224 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Affiliates Maine, LLC | Current | Accepting new patients | |
| Spurwink Services Incorporated | Past | Accepting new patients |
Locations
306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Auburn, ME
- NPI 1932413556
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, ME
- NPI 1760507297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1366849978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2008",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042412008",
"telephone_number": "207-783-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 HIGH ST",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "049381946",
"telephone_number": "207-778-3556",
"fax_number": "207-778-3558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARRIVEE",
"first_name": "MICHELLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ME",
"license": "MC15727",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "CAC5568",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC18224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.