Individual provider Active NPI

Henry Roy Partridge, MSW, PH.D.

  • Clinical Social Worker
  • Scarborough, ME
National Provider Identifier
1538498662
Registry record updated Dec 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC4187 Issued in ME
Practice address
3 Old Colony LN
Scarborough, ME 04074-8656
Phone
(207) 885-9505
NPI assigned
Dec 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2009

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 LC4187 ME Primary

Addresses

Primary practice location

3 Old Colony LN
Scarborough, ME 04074-8656

Mailing address

3 Old Colony LN
Scarborough, ME 04074-8656
Phone (207) 885-9505

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LC4187MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1261267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261267200000",
    "number": "1538498662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OLD COLONY LN",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748656",
            "telephone_number": "207-885-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 OLD COLONY LN",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748656",
            "telephone_number": "207-885-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTRIDGE",
        "first_name": "HENRY",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "MSW, PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-20",
        "last_updated": "2009-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC4187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2009; 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.