Active NPI
Maureen G. Kehoe, LCSW
- Clinical Social Worker
- Rockland, ME
National Provider Identifier
1568424059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC7921
- Practice address
- 400 Broadway
Rockland, ME 04841 - Phone
- (207) 596-2010
- Fax
- (207) 596-2028
- NPI assigned
- Apr 3, 2006
- 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 | LC7921 | ME | Primary |
Addresses
Primary practice location
400 Broadway
Rockland, ME 04841
Mailing address
51 Church Street
Hope, ME 04847
Phone (207) 596-2010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312190099 | Medicaid | ME |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC7921 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1568424059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 CHURCH STREET",
"city": "HOPE",
"state": "ME",
"postal_code": "04847",
"telephone_number": "207-596-2010",
"fax_number": "207-596-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BROADWAY",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "04841",
"telephone_number": "207-596-2010",
"fax_number": "207-596-2028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEHOE",
"first_name": "MAUREEN",
"middle_name": "G.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC7921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "312190099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.