Colleen N Dwan, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC13131 Issued in ME

Practice address

148 E Main St
Dover Foxcroft, ME 04426-1305

Phone

(207) 564-3323

Fax

(207) 564-3321

NPI assigned

Jun 28, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Penquis C.a.P., Inc.

  • Community/Behavioral Health Agency
  • Bangor, ME
  • NPI 1720087075
  NPD (past)

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1386930360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 BANGOR RD",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044263373",
            "telephone_number": "207-564-2464",
            "fax_number": "207-564-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 E MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261305",
            "telephone_number": "207-564-3323",
            "fax_number": "207-564-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWAN",
        "first_name": "COLLEEN",
        "middle_name": "N",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC13131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dover-Foxcroft Healthcare, LLC
• Karen E Dow, CRNA
• Melanie Fox Dumont, PA-C
• Laura Marie Dunbar, COTA/L
• Stacey Duran, LCSW-C
• Ellen M Anderson DPM
• Sandra Engstrom, RN
• Eric Edinger Ernst, LCSW
• Essex Sreet Dental Associates,PA
• Essex Street Dental LLC

• Clinical Social Worker in Dover Foxcroft, ME
• Providers in Dover Foxcroft, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.