Nicole H. Dennen, L.C.S.W.

Key facts

NPI

1497841985

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

LC5932 (ME)

Practice address

7 Brookside Dr
Cumberland, ME 04021-4057

Phone

(207) 409-4717

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 7, 2020.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1497841985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BROOKSIDE DR",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040214057",
            "telephone_number": "207-409-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BROOKSIDE DR",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040214057",
            "telephone_number": "207-409-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNEN",
        "first_name": "NICOLE",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Cumberland, ME · Clinical Social Worker in Maine