Individual provider Active NPI

Mary Stanton, LCSW

  • Clinical Social Worker
  • Bowdoinham, ME
National Provider Identifier
1427684372
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC20160 Issued in ME
Practice address
110 Wilderness LN
Bowdoinham, ME 04008-6059
Phone
(781) 864-9966
NPI assigned
Mar 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC18106 ME
Clinical Social Worker 1041C0700X LCSW118338 CA
Clinical Social Worker 1041C0700X LC20160 ME Primary

Addresses

Primary practice location

110 Wilderness LN
Bowdoinham, ME 04008-6059

Mailing address

110 Wilderness LN
Bowdoinham, ME 04008-6059
Phone (207) 209-3123

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211027001191 ME Practitioner - Clinical Social Worker 9335537182 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC18106MEMDMental Health Counselor
LCSW118338CAMDClinical Social Worker
LC20160MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Maine Medical Center CurrentSince Feb 13, 2022 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 12, 2021 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 12, 2021 Accepting new patients
Acadia Hospital Corp CurrentSince Dec 12, 2021 Accepting new patients
Pine State Telehealth Therapy LLC Mental Health CurrentSince Jun 30, 2024 Accepting new patients
Eastern Maine Medical Center CurrentSince Feb 13, 2022 Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

489 State St
Bangor, ME 04401
Phone (207) 973-8837

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1427684372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WILDERNESS LN",
            "city": "BOWDOINHAM",
            "state": "ME",
            "postal_code": "040086059",
            "telephone_number": "207-209-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WILDERNESS LN",
            "city": "BOWDOINHAM",
            "state": "ME",
            "postal_code": "040086059",
            "telephone_number": "781-864-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-22",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "MC18106",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW118338",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC20160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowdoinham, ME

Sources for this page

Verify at the official NPI Registry.