Marge Jane Hudson-Fairfield, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC5390 Issued in ME

Practice address

535 Ocean Ave 1
Portland, ME 04103-4970

Phone

(207) 615-9070

NPI assigned

Jul 30, 2006

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Clinical Social Worker

Education

Boston University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Art of Awareness, Inc.

  • Clinical Social Worker
  • South Portland, ME
  • NPI 1891833760
  NPD (past)
• Healing Connections, PLLC

  • Adult Mental Health Clinic/Center
  • Sanford, ME
  • NPI 1255526158

  Clinical

  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1437164191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 OCEAN AVE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034970",
            "telephone_number": "207-615-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 OCEAN AVE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034970",
            "telephone_number": "207-615-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON-FAIRFIELD",
        "first_name": "MARGE",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Hubbard
• Peter R Hubbs, M.D.
• Rex A Huber, CRNA
• Jane E. Hubley, LCSW
• Shannon Huckaby, MS
• Anita Huey, RD
• Jacquelyn Marie Huff, LMT
• Kaitlyn Huff
• Kirsten L Huff, NNP-BC
• Benjamin H. Huffard, M.D.

• Clinical Social Worker in Portland, ME
• Providers in Portland, 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 Jul 21, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.