Organization Active NPI

Diane Harris LCSW Cadc LLC

  • Clinical Social Worker
  • Westbrook, ME
National Provider Identifier
1447035530
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DIANE HARRIS LCSW CADC LLC
Practice address
201 Main St Ste 2
Westbrook, ME 04092-4763
Phone
(207) 653-7885
NPI assigned
Aug 28, 2023
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Ms. Diane Harris, LCSW CADCNPI 1184734170
Title
Therapist
Phone
(207) 653-7885

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

201 Main St Ste 2
Westbrook, ME 04092-4763

Mailing address

15 Running Brook Rd
Windham, ME 04062-5160
Phone (207) 653-7885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231221002960 ME Part B Supplier - Clinic/Group Practice 5294185856 Receives reassigned benefits from 1 practitioner
Practice locations: Westbrook, ME

National Provider Directory

National Provider Directory

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": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1447035530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RUNNING BROOK RD",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625160",
            "telephone_number": "207-653-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAIN ST STE 2",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924763",
            "telephone_number": "207-653-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE HARRIS LCSW CADC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "207-653-7885",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW CADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.