Individual provider Active NPI

Dorothy M Cady, MSW

  • Mental Health Counselor
  • South Portland, ME
National Provider Identifier
1639106941
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC6262 Issued in ME
Practice address
6 D St
South Portland, ME 04106-2820
Phone
(207) 899-4105
Fax
(207) 767-7002
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC6262 ME Primary

Addresses

Primary practice location

6 D St
South Portland, ME 04106-2820

Mailing address

6 D St
South Portland, ME 04106-2820
Phone (207) 899-4105

Other identifiers 1

IdentifierTypeStateIssuer
LC6262OtherMELICENSED CLINICAL SWK

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

LicenseStateTypeSpecialty
LC6262MEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639106941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 D ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062820",
            "telephone_number": "207-899-4105",
            "fax_number": "207-767-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 D ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062820",
            "telephone_number": "207-899-4105",
            "fax_number": "207-767-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADY",
        "first_name": "DOROTHY",
        "middle_name": "M",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC6262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SWK",
            "identifier": "LC6262",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.