Individual provider Active NPI

Cheryl Dunn Hartford, LADC, LSW

  • Addiction (Substance Use Disorder) Counselor
  • Mexico, ME
National Provider Identifier
1528690963
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LC6892 Issued in ME
Practice address
679 River Rd
Mexico, ME 04257-1848
Phone
(207) 357-9597
Fax
(207) 507-1355
NPI assigned
Feb 4, 2020
Last updated
Feb 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC6892 ME Primary

Addresses

Primary practice location

679 River Rd
Mexico, ME 04257-1848

Mailing address

PO Box 183
Weld, ME 04285-0183
Phone (207) 244-7315

Other names 1

  • Cheryl Hodkiewicz Former name

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

LicenseStateTypeSpecialty
LC6892MEMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1528690963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183",
            "city": "WELD",
            "state": "ME",
            "postal_code": "042850183",
            "telephone_number": "207-244-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 RIVER RD",
            "city": "MEXICO",
            "state": "ME",
            "postal_code": "042571848",
            "telephone_number": "207-357-9597",
            "fax_number": "207-507-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTFORD",
        "first_name": "CHERYL",
        "middle_name": "DUNN",
        "credential": "LADC, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC6892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "HODKIEWICZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mexico, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.