Individual provider Active NPI

Heather L Macduffie, PHD, LCSW

  • Clinical Social Worker
  • Bangor, ME
National Provider Identifier
1457336828
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC6804 Issued in ME
Practice address
444 Stillwater Ave Ste 103
Bangor, ME 04401
Phone
(207) 307-7886
NPI assigned
Dec 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC6804 ME Primary

Addresses

Primary practice location

444 Stillwater Ave Ste 103
Bangor, ME 04401

Mailing address

444 Stillwater Ave Ste 103
Bangor, ME 04401-3500
Phone (207) 307-7886

Other practice location 1

348 Billings Rd
Hermon, ME 04401-0415
Phone (207) 848-0929

Other practice location 2

17 Doughty Dr Ste 206
Brewer, ME 04412-2278
Phone (207) 989-7045

Other identifiers 1

IdentifierTypeStateIssuer
2469600000MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LC6804MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetser PastSince Jul 1, 2010 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.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1457336828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 STILLWATER AVE STE 103",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013500",
            "telephone_number": "207-307-7886",
            "fax_number": "207-433-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 STILLWATER AVE STE 103",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-307-7886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "348 Billings Rd",
            "address_purpose": "LOCATION",
            "city": "Hermon",
            "state": "ME",
            "postal_code": "044010415",
            "country_code": "US",
            "telephone_number": "207-848-0929",
            "fax_number": "207-848-0918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Doughty Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Brewer",
            "state": "ME",
            "postal_code": "044122278",
            "country_code": "US",
            "telephone_number": "207-989-7045",
            "fax_number": "207-433-1241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDUFFIE",
        "first_name": "HEATHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2469600000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.