Active NPI
Sherri H. Nass-Teret, LCSW
- Clinical Social Worker
- Scarborough, ME
National Provider Identifier
1386795151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC11605
- Practice address
- 200 Professional Drive
Scarborough, ME 04074-8434 - Phone
- (207) 883-0711
- Fax
- (207) 883-2204
- NPI assigned
- Jan 16, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 071012-1 | NY | |
| Social Worker | 104100000X | LC11605 | ME | |
| Clinical Social Worker | 1041C0700X | LC11605 | ME | Primary |
Addresses
Primary practice location
200 Professional Drive
Scarborough, ME 04074-8434
Mailing address
200 Professional Drive
Scarborough, ME 04074-8434
Phone (207) 883-0711
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071012-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1386795151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PROFESSIONAL DRIVE",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040748434",
"telephone_number": "207-883-0711",
"fax_number": "207-883-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PROFESSIONAL DRIVE",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040748434",
"telephone_number": "207-883-0711",
"fax_number": "207-883-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASS-TERET",
"first_name": "SHERRI",
"middle_name": "H.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "071012-1",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "LC11605",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC11605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.