Individual provider Active NPI

Michelle Ferris, LCSW

  • Clinical Social Worker
  • Presque Isle, ME
National Provider Identifier
1497872097
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC11729 Issued in ME
Practice address
180 Academy St Ste 2
Presque Isle, ME 04769-3183
Phone
(207) 764-3319
Fax
(207) 768-5377
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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 LC11729 ME Primary

Addresses

Primary practice location

180 Academy St Ste 2
Presque Isle, ME 04769-3183

Mailing address

180 Academy St Ste 3
Presque Isle, ME 04769-3183
Phone (207) 554-2352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081030000323 ME Practitioner - Clinical Social Worker 7719046150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aroostook Mental Health Services, Inc. Clinical CurrentSince Jun 26, 2011 Accepting new patients

Locations

127 Palmer St
Calais, ME 04619
Phone (207) 454-0270

43 Hatch Dr
Ste 310
Caribou, ME 04736
Phone (207) 493-3361

70 Kingsland Xing
Ellsworth, ME 04605
Phone (207) 667-6890

104 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

23 High St
Ft Fairfield, ME 04742
Phone (207) 768-4753

11 Mill St
Houlton, ME 04730
Phone (207) 532-6523

88 Fox St
#101
Madawaska, ME 04756
Phone (207) 728-6341

14 Steves Ln
Marshfield, ME 04654
Phone (207) 255-0996

180 Academy St
Ste 2
Presque Isle, ME 04769
Phone (207) 764-3319

180 Academy St
Ste 3
Presque Isle, ME 04769
Phone (207) 554-2352

1 Edgemont Dr
Presque Isle, ME 04769
Phone (207) 764-3319

180 Academy St
Ste 1
Presque Isle, ME 04769
Phone (207) 760-8100

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1497872097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ACADEMY ST STE 3",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693183",
            "telephone_number": "207-554-2352",
            "fax_number": "207-554-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ACADEMY ST STE 2",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693183",
            "telephone_number": "207-764-3319",
            "fax_number": "207-768-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

Verify at the official NPI Registry.