Active NPI
Lisa M. Kushner, LCSW
- Social Worker
- Belfast, ME
National Provider Identifier
1588739254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LC6880
- Practice address
- 8 Allyn St
Belfast, ME 04915-6720 - Phone
- (207) 322-5703
- Fax
- (207) 338-5297
- NPI assigned
- Nov 21, 2006
- Last updated
- Apr 4, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LC6880 | ME | Primary |
| Clinical Social Worker | 1041C0700X | LC6880 | ME |
Addresses
Primary practice location
8 Allyn St
Belfast, ME 04915-6720
Mailing address
8 Allyn St
Belfast, ME 04915-6720
Phone (207) 322-5703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 221180000 | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6880 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1588739254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 ALLYN ST",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156720",
"telephone_number": "207-322-5703",
"fax_number": "207-338-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 ALLYN ST",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156720",
"telephone_number": "207-322-5703",
"fax_number": "207-338-5297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSHNER",
"first_name": "LISA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "LC6880",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC6880",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "221180000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belfast, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.