Active NPI
Virginia Samel McNulty, LCSW
- Clinical Social Worker
- Lewiston, ME
National Provider Identifier
1669528162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC6974
- Practice address
- 100 Campus Ave
Suites a & B
Lewiston, ME 04240-6040 - Phone
- (207) 755-3434
- Fax
- (207) 784-6826
- NPI assigned
- Jan 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC6974 | ME | Primary |
Addresses
Primary practice location
100 Campus Ave
Suites a & B
Lewiston, ME 04240-6040
Mailing address
PO Box 10187
Albany, NY 12201-5187
Phone (207) 777-4111
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Clinical Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Lewiston, ME
- NPI 1164477568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385337600000",
"number": "1669528162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10187",
"city": "ALBANY",
"state": "NY",
"postal_code": "122015187",
"telephone_number": "207-777-4111",
"fax_number": "207-783-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CAMPUS AVE",
"address_2": "SUITES A & B",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042406040",
"telephone_number": "207-755-3434",
"fax_number": "207-784-6826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNULTY",
"first_name": "VIRGINIA",
"middle_name": "SAMEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2013-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC6974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.