Active NPI
Charissa Marie Maguire, LCSW
- Clinical Social Worker
- Bangor, ME
National Provider Identifier
1538209754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC8400
- Practice address
- 261 French St.
Bangor, ME 04401 - Phone
- (207) 991-4533
- NPI assigned
- Feb 7, 2007
- 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 | LC8400 | ME | Primary |
Addresses
Primary practice location
261 French St.
Bangor, ME 04401
Mailing address
261 French St.
Bangor, ME 04401
Phone (207) 991-4533
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 327860099 | Medicaid | ME | |
| LC8400 | Other | ME | STATE LICENSE |
Other names 1
- Charissa Marie Merrill-Maguire
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC8400 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Behavioral Healthcare, LLC | Past | Accepting new patients | |
| Possibilities Counseling Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Bangor, ME
- NPI 1215102850
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Auburn, ME
- NPI 1235209750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1538209754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 FRENCH ST.",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-991-4533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 FRENCH ST.",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-991-4533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGUIRE",
"first_name": "CHARISSA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC8400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "327860099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LC8400",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHARISSA",
"last_name": "MERRILL-MAGUIRE",
"middle_name": "MARIE",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}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 Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.