Michael R Galligan, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LC20106 Issued in ME

Practice address

5 Central Maine Xing
Gardiner, ME 04345-6320

Phone

(207) 582-6608

Fax

(207) 582-2258

NPI assigned

Feb 2, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1548769854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CENTRAL MAINE XING",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043456320",
            "telephone_number": "207-582-6608",
            "fax_number": "207-582-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CENTRAL MAINE XING",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043456320",
            "telephone_number": "207-582-6608",
            "fax_number": "207-582-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Morton St",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021303735",
            "country_code": "US",
            "telephone_number": "617-971-3011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLIGAN",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-02",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116296",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC20106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kennett RN
• Ellen Beland
• Jean Anne Feldeisen, LCSW, LADC
• Patricia Ann Fournier
• Renee Ashley Frail, PHARMD
• Gardiner Family Chiropractic
• Gardiner Family Chiropractic PC
• Brian Leslie Gardner, M.D.
• Laurie Joanne Gardner, LCSW
• Venus Alicia Gilley, MS, RD, LD

• Social Worker in Gardiner, ME
• Providers in Gardiner, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.