Nancy Maiello Licsw LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NANCY MAIELLO LICSW LLC

Practice address

90 Whitney Ave
Portland, ME 04102-2586

Phone

(207) 752-0731

NPI assigned

Feb 12, 2012

Organization subpart

No

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

Authorized official

Name

Nancy Maiello, LICSW

Title

Owner

Phone

(207) 752-0731

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1329004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1558634246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WHITNEY AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022586",
            "telephone_number": "207-752-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WHITNEY AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022586",
            "telephone_number": "207-752-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY MAIELLO LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-12",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "MAIELLO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-752-0731",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NH",
            "license": "653",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jane Nagy, LCSW
• Maryam Nahidian
• Mark Nakell
• David D Nalchajian, DMD
• Yezmin Name Almanza, LCPC-C
• Christian Napolitano
• Kenleigh Erin Nash, DO
• William J Nash, MD
• Joshua Nason, PA-C
• Natalie Bornstein Psychotherapy LLC

• Adult Mental Health Clinic/Center in Portland, ME
• Providers in Portland, ME by specialty
• Adult Mental Health Clinic/Center in Maine

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