Individual provider Active NPI

Meredith J Vogel, LMSW-CC

  • Social Worker
  • Lewiston, ME
National Provider Identifier
1376023408
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MC17117 Issued in ME
Practice address
75 Central Ave
Lewiston, ME 04240-6031
Phone
(207) 795-4180
Fax
(207) 753-6419
NPI assigned
Aug 17, 2018
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MC17117 ME Primary

Addresses

Primary practice location

75 Central Ave
Lewiston, ME 04240-6031

Mailing address

112 Winter St Unit 3
Portland, ME 04102-4032
Phone (443) 974-0660

Other practice location 1

156 East Ave
Lewiston, ME 04240-5626
Phone (207) 795-4144 ext. 2310

Other practice location 2

77 Harris St
Auburn, ME 04210-4671
Phone (207) 782-6827 ext. 257

Other practice location 3

38 Falcon Dr
Auburn, ME 04210-4384
Phone (207) 783-3984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC17117MEMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1376023408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WINTER ST UNIT 3",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041024032",
            "telephone_number": "443-974-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CENTRAL AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406031",
            "telephone_number": "207-795-4180",
            "fax_number": "207-753-6419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 East Ave",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042405626",
            "country_code": "US",
            "telephone_number": "207-795-4144 x2310",
            "fax_number": "207-795-4147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Harris St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042104671",
            "country_code": "US",
            "telephone_number": "207-782-6827 x257",
            "fax_number": "207-376-0090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38 Falcon Dr",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042104384",
            "country_code": "US",
            "telephone_number": "207-783-3984",
            "fax_number": "207-784-1358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "MEREDITH",
        "middle_name": "J",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC17117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.