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

Last updated

Oct 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Kenneth Hodgdon, LCSWNPI 1275724288

Title

Ceo

Phone

(207) 512-5131

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn Kenneth Hodgdon

  • Clinical Social Worker
  • Manchester, ME
  • NPI 1275724288
  NPD (past) Authorized official
• Jessica Lindsay Hodgdon, LCSW

  • Clinical Social Worker
  • Mount Vernon, ME
  • NPI 1194916007
  NPD (past)

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

{
    "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 (Manchester Care Center)
• Christopher M. Dorsey, LPN
• Robin Page Dufour, PT
• Margaret A Duston, M.D.
• Everest Recovery Centers - Maine
• Evergreen Health, LLC (Evregreen, Health LLC)

• Clinical Social Worker in Manchester, ME
• Providers in Manchester, 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 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.