Shoreline Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SHORELINE COUNSELING, LLC

Practice address

825 Main St Ste 4
Westbrook, ME 04092-2873

Phone

(207) 228-3880

Fax

(207) 805-8853

NPI assigned

Nov 14, 2022

Organization subpart

No

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

Authorized official

Name

Keara Anne Dupont Anctil, LCSWNPI 1144312968

Title

Owner

Phone

(208) 228-3880

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keara Anne Dupont Anctil, LCSW

  • Clinical Social Worker
  • Westbrook, ME
  • NPI 1144312968
  NPD Authorized official

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1619685138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 MAIN ST STE 4",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922873",
            "telephone_number": "207-228-3880",
            "fax_number": "207-805-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 MAIN ST STE 4",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922873",
            "telephone_number": "207-228-3880",
            "fax_number": "207-805-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "DUPONT ANCTIL",
        "authorized_official_first_name": "KEARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-228-3880",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seven Star Acupuncture and Osteopathy LLC
• William P Seymour, NP
• Samantha Shannon
• Roddy A Sherer, NP-C
• Lillian J. Shields, LMSW-CC
• Matthew Shorey
• Tamela Ann Simmons, CADC
• Charles Sprague Simonds Jr., PSYD
• Elizabeth Siviski, LCSW
• John Skvorak Jr., D.M.D.

• Clinical Social Worker in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.