Crossroads Counseling Center PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CROSSROADS COUNSELING CENTER PLLC

Practice address

726 Western Ave.
Manchester, ME 04351

Phone

(207) 512-5131

Fax

(888) 293-3442

NPI assigned

Jul 2, 2008

Organization subpart

No

Name

Mr. Shawn Kenneth Hodgdon, LCSWNPI 1275724288

Title

Ceo

Phone

(207) 512-5131

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

• Shawn Kenneth Hodgdon

  • Clinical Social Worker
  • Manchester, ME
  • NPI 1275724288

  Clinical

  NPD (past) Authorized official
• Jessica Lindsay Hodgdon, LCSW

  • Clinical Social Worker
  • Mount Vernon, ME
  • NPI 1194916007

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2012.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1437312295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "city": "MANCHESTER",
            "state": "ME",
            "postal_code": "043510251",
            "telephone_number": "207-512-5131",
            "fax_number": "888-293-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 WESTERN AVE.",
            "city": "MANCHESTER",
            "state": "ME",
            "postal_code": "04351",
            "telephone_number": "207-512-5131",
            "fax_number": "888-293-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "HODGDON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-512-5131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Meghan Brann
• Susan Burnett
• Carmen Littel
• Laura P Caron, MD
• Central Maine Medical Center
• Christopher M. Dorsey, LPN
• Robin Page Dufour, PT
• Margaret A Duston, M.D.
• Everest Recovery Centers - Maine
• Evergreen Health, LLC

• All providers in Manchester, ME
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.