Individual provider Active NPI

Michelle Larrivee, LCSW

  • Clinical Social Worker
  • Farmington, ME
National Provider Identifier
1366849978
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC18224 Issued in ME
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201210001304 ME Practitioner - Clinical Social Worker 4587076815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC15727MEMDCounselor
CAC5568MEMDAddiction (Substance Use Disorder) Counselor
LC18224MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Affiliates Maine, LLC CurrentSince Sep 27, 2020 Accepting new patients
Spurwink Services Incorporated PastSince Jan 4, 2021 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.

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

Verify at the official NPI Registry.