Active NPI
Maureen O'Malley, LCSW
- Mental Health Counselor
- Brewer, ME
National Provider Identifier
1447546148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC13076
- Practice address
- 141 N Main St Ste 203
Brewer, ME 04412-2055 - Phone
- (207) 907-4343
- Fax
- (207) 907-4343
- NPI assigned
- Jun 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC13076 | ME | Primary |
Addresses
Primary practice location
141 N Main St Ste 203
Brewer, ME 04412-2055
Mailing address
25 Ledgewood Dr
Bucksport, ME 04416-4428
Phone (207) 798-1136
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 |
|---|---|---|---|
| MC13076 | ME | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1447546148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 LEDGEWOOD DR",
"city": "BUCKSPORT",
"state": "ME",
"postal_code": "044164428",
"telephone_number": "207-798-1136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 N MAIN ST STE 203",
"city": "BREWER",
"state": "ME",
"postal_code": "044122055",
"telephone_number": "207-907-4343",
"fax_number": "207-907-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MALLEY",
"first_name": "MAUREEN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "MC13076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewer, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.