Active NPI
Debra L Hannon, LCSW
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1659479707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC1168
- Practice address
- 27 Middle St
Portland, ME 04101-4212 - Phone
- (207) 774-2362
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC1168 | ME | Primary |
Addresses
Primary practice location
27 Middle St
Portland, ME 04101-4212
Mailing address
321 Auburn St
Portland, ME 04103-2122
Phone (207) 797-6159
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 |
|---|---|---|---|
| LC1168 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659479707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 AUBURN ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032122",
"telephone_number": "207-797-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 MIDDLE ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041014212",
"telephone_number": "207-774-2362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNON",
"first_name": "DEBRA",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC1168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
- Hannaford Bros Co LLC (Hannaford Food and Drug)
- Hannaford Bros. Co., LLC (Hannaford Pharmacy Central Processing 89303)
- Hannaford Bros. Co., LLC
- Hannaford Bros. Co., LLC (Hannaford Pharmacy Central Processing 89305)
- Molly Anne Hannigan
- Melanie Hannon, LCSW, LADC
- Teryn Clark Hanrahan, ATC
- Hope S Hanron, LCPC; LADC
- Elizabeth E. Hansberger, LCSW
- Georgia Ann Hansbury
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.