Active NPI
Emily Thompson, LCSW
- Social Worker
- Saco, ME
National Provider Identifier
1437255684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LC11660
- Practice address
- 50 Moody St
Saco, ME 04072-1536 - Phone
- (207) 294-4657
- NPI assigned
- Sep 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LC11660 | ME | Primary |
| Social Worker | 104100000X | MC10599 | ME |
Addresses
Primary practice location
50 Moody St
Saco, ME 04072-1536
Mailing address
PO Box 11087
Portland, ME 04104-7087
Other practice location 1
901 Washington Ave Ste 100
Portland, ME 04103-2842
Phone (207) 871-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432243099 | Medicaid | ME |
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 |
|---|---|---|---|
| LC11660 | ME | MD | Social Worker |
| MC10599 | ME | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spurwink Services Incorporated | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, ME
- NPI 1316945090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1437255684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11087",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041047087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MOODY ST",
"city": "SACO",
"state": "ME",
"postal_code": "040721536",
"telephone_number": "207-294-4657"
}
],
"practiceLocations": [
{
"address_1": "901 Washington Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041032842",
"country_code": "US",
"telephone_number": "207-871-1200",
"fax_number": "207-871-1232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "EMILY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "LC11660",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "MC10599",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432243099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.