Individual provider Active NPI

Daniel Pierce, LCSW, LADC

  • School Social Worker
  • Portland, ME
National Provider Identifier
1639476393
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
LC7652 Issued in ME
Practice address
95 India St
Portland, ME 04101-4250
Phone
(207) 749-1838
NPI assigned
Feb 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X LC7652 ME Primary

Addresses

Primary practice location

95 India St
Portland, ME 04101-4250

Mailing address

95 India St
Portland, ME 04101-4250
Phone (207) 749-1838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180523000025 ME Practitioner - Clinical Social Worker 4082979018 Practice locations: Portland, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1639476393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 INDIA ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014250",
            "telephone_number": "207-749-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 INDIA ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014250",
            "telephone_number": "207-749-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "DANIEL",
        "credential": "LCSW, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-16",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "ME",
            "license": "LC7652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.