Patricia Siragusa Engdahl LCSW, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

PATRICIA SIRAGUSA ENGDAHL LCSW, LLC

Practice address

444 Main St
Lewiston, ME 04240-6737

Phone

(207) 431-4718

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Patricia Siragusa EngdahlNPI 1629016621

Title

Ceo

Phone

(207) 431-4718

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia S Engdahl, LCSW

  • Social Worker
  • Lewiston, ME
  • NPI 1629016621
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1396465530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406737",
            "telephone_number": "207-431-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406737",
            "telephone_number": "207-431-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA SIRAGUSA ENGDAHL LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "ENGDAHL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "SIRAGUSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-431-4718"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Parker, MD
• Megan D Parks, LSW, LADC, CCS
• Jay Kris Pascual, M.D.
• Anthony Pastore, DO
• Hena J Patel
• David Gabriel Patrick, LCSW
• James Francis Patten
• Paul R Mailhot, MD, PA
• Sergei Pavlov, CRNA
• Kari Payne

• Social Worker in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.