Active NPI
Emily Marron Webster
- Clinical Social Worker
- South Portland, ME
National Provider Identifier
1609356567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MC17302
- 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
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 |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| LC18498 | ME | MD | Clinical Social Worker |
| MC17302 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Let the Light in Counseling | Current | Accepting new patients | |
| Let the Light in Corporation | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Auburn, ME
- NPI 1265142897
-
- Adolescent and Children Mental Health Clinic/Center
- Cumberland, ME
- NPI 1578222162
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.