Organization Active NPI

Core Elements LLC

  • Clinical Social Worker
  • Gorham, ME
National Provider Identifier
1437735172
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CORE ELEMENTS LLC
Practice address
510 Main St Ofc 206
Gorham, ME 04038-1339
Phone
(207) 318-2901
Fax
(207) 222-0066
NPI assigned
Mar 23, 2021
Last updated
Mar 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Justin Edwin Brown, LCSW, LADC, CCSNPI 1265081673
Title
Co-Founder and Clinician
Phone
(207) 318-2901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

510 Main St Ofc 206
Gorham, ME 04038-1339

Mailing address

510 Main St Ofc 206
Gorham, ME 04038-1339
Phone (207) 318-2901

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Gorham Direct

National Provider Directory

National Provider Directory

Locations

510 Main St
Ofc 206
Gorham, ME 04038
Phone (207) 318-2901

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1437735172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MAIN ST OFC 206",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381339",
            "telephone_number": "207-318-2901",
            "fax_number": "207-222-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MAIN ST OFC 206",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381339",
            "telephone_number": "207-318-2901",
            "fax_number": "207-222-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE ELEMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "CO-FOUNDER AND CLINICIAN",
        "authorized_official_telephone_number": "207-318-2901",
        "authorized_official_credential": "LCSW, LADC, CCS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gorham",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "510 Main St Ofc 206",
            "city": "Gorham",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040381339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gorham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.