Active NPI
Nicholas Penna
- School Social Worker
- Auburn, ME
National Provider Identifier
1447925672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- LC23810
- Practice address
- 415 Rodman Rd
Auburn, ME 04210-3942 - Phone
- (207) 376-3022
- NPI assigned
- Aug 10, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | LC23810 | ME | Primary |
Addresses
Primary practice location
415 Rodman Rd
Auburn, ME 04210-3942
Mailing address
800 Center St
Auburn, ME 04210-6404
Phone (207) 782-2726
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC23810 | ME | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John F Murphy Homes, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nursing Facility/Intermediate Care Facility
- Auburn, ME
- NPI 1063431070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1447925672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CENTER ST",
"city": "AUBURN",
"state": "ME",
"postal_code": "042106404",
"telephone_number": "207-782-2726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 RODMAN RD",
"city": "AUBURN",
"state": "ME",
"postal_code": "042103942",
"telephone_number": "207-376-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNA",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-10",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "ME",
"license": "LC23810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.