Active NPI
Thomas E Allan, LCSW
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1568688257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC6509
- Practice address
- 535 Ocean Ave
Ste 1
Portland, ME 04103-4970 - Phone
- (207) 857-8282
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC2219 | ME | |
| Clinical Social Worker | 1041C0700X | LC6509 | ME | Primary |
Addresses
Primary practice location
535 Ocean Ave
Ste 1
Portland, ME 04103-4970
Mailing address
535 Ocean Ave
Ste 1
Portland, ME 04103-4970
Phone (207) 879-3000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2219 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| LC6509 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1568688257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 OCEAN AVE",
"address_2": "STE 1",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041034970",
"telephone_number": "207-879-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 OCEAN AVE",
"address_2": "STE 1",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041034970",
"telephone_number": "207-857-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLAN",
"first_name": "THOMAS",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC2219",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC6509",
"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 Aug 30, 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.