Individual provider Active NPI

Emily Marron Webster

  • Clinical Social Worker
  • South Portland, ME
National Provider Identifier
1609356567
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MC17302 Issued in ME
Practice address
100 Gannett Dr
South Portland, ME 04106-5900
Phone
(207) 289-7213
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC18498 ME
Clinical Social Worker 1041C0700X MC17302 ME Primary

Addresses

Primary practice location

100 Gannett Dr
South Portland, ME 04106-5900

Mailing address

25 Mill Ridge Rd
Cumberland, ME 04021-3132
Phone (207) 754-3530

Other practice location 1

560 Park Ave
Auburn, ME 04210-8528
Phone (207) 405-3821

Other names 1

  • Emily Marron Former name

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

LicenseStateTypeSpecialty
LC18498MEMDClinical Social Worker
MC17302MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Let the Light in Counseling CurrentSince Feb 27, 2022 Accepting new patients
Let the Light in Corporation CurrentSince Dec 13, 2022 Accepting new patients

Locations

560 Park Ave
Auburn, ME 04210
Phone (207) 405-3821

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1609356567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MILL RIDGE RD",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040213132",
            "telephone_number": "207-754-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GANNETT DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065900",
            "telephone_number": "207-289-7213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042108528",
            "country_code": "US",
            "telephone_number": "207-405-3821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "EMILY",
        "middle_name": "MARRON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC18498",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC17302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MARRON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.