Active NPI
Angela C Fileccia, LCSW
- Clinical Social Worker
- Bangor, ME
National Provider Identifier
1518104355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC11073
- Practice address
- 34 Summer St
Bangor, ME 04401-6446 - Phone
- (207) 992-2636
- Fax
- (207) 992-2638
- NPI assigned
- Jan 15, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC11073 | ME | Primary |
Addresses
Primary practice location
34 Summer St
Bangor, ME 04401-6446
Mailing address
PO Box 1358
Bangor, ME 04402-1358
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432817199 | Medicaid | ME |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1518104355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1358",
"city": "BANGOR",
"state": "ME",
"postal_code": "044021358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 SUMMER ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016446",
"telephone_number": "207-992-2636",
"fax_number": "207-992-2638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILECCIA",
"first_name": "ANGELA",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-15",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC11073",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432817199",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.