Active NPI
Anna G Strout, LCSW
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1548592652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC6300
- Practice address
- 449 Forest Ave Ste 211
Portland, ME 04101-2008 - Phone
- (207) 891-6534
- NPI assigned
- Feb 1, 2010
- Last updated
- Feb 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | LC6300 | ME | Primary |
Addresses
Primary practice location
449 Forest Ave Ste 211
Portland, ME 04101-2008
Mailing address
10 Robinhood Rd
Cape Elizabeth, ME 04107-1815
Phone (207) 891-6534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 23, 2021 through Jun 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6300 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1548592652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ROBINHOOD RD",
"city": "CAPE ELIZABETH",
"state": "ME",
"postal_code": "041071815",
"telephone_number": "207-891-6534",
"fax_number": "888-492-0305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 FOREST AVE STE 211",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012008",
"telephone_number": "207-891-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROUT",
"first_name": "ANNA",
"middle_name": "G",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-01",
"last_updated": "2021-02-10",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC6300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.