Active NPI
Sherie Daigle
- Clinical Social Worker
- South Portland, ME
National Provider Identifier
1386217651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MC20229
- Practice address
- 100 Gannett Dr
South Portland, ME 04106-5900 - Phone
- (207) 653-0746
- NPI assigned
- Jul 23, 2021
- Last updated
- Jul 23, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MC20229 | ME | Primary |
Addresses
Primary practice location
100 Gannett Dr
South Portland, ME 04106-5900
Mailing address
7 Bickford Ave
Brunswick, ME 04011-3125
Phone (207) 577-2745
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 |
|---|---|---|---|
| MC20229 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Haven LLC | Current | Accepting new patients | |
| Community Clinical Services, Inc. | Current | Accepting new patients | |
| Community Clinical Services, Inc. | Current | Accepting new patients | |
| Sweetser | Current | Accepting new patients | |
| Community Clinical Services, Inc | Current | Accepting new patients | |
| St. Mary's Regional Medical Center | Past | Accepting new patients |
Locations
329 Bath Rd
Brunswick, ME 04011
Phone (207) 373-3012
100 Campus Ave
Ste 208
Lewiston, ME 04240
Phone (207) 777-8974
106 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3383
50 Moody St
Saco, ME 04072
Phone (207) 284-5981
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Lewiston, ME
- NPI 1164477568
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saco, ME
- NPI 1538122445
-
- Mental Health Counselor
- Brunswick, ME
- NPI 1154166759
-
- Federally Qualified Health Center (FQHC)
- Lewiston, ME
- NPI 1629851761
-
- Federally Qualified Health Center (FQHC)
- Lewiston, ME
- NPI 1184702821
-
dba St. Mary's d'Youville Pavilion
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1952306524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1386217651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BICKFORD AVE",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113125",
"telephone_number": "207-577-2745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GANNETT DR",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065900",
"telephone_number": "207-653-0746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAIGLE",
"first_name": "SHERIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC20229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.