Laura Gottfried, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC5554 Issued in ME

Practice address

178 Middle St
Ste 300
Portland, ME 04101-4075

Phone

(207) 773-0073

Fax

(207) 772-2670

NPI assigned

Aug 31, 2006

Last updated

Feb 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Laura Gottfried LCSW Inc.

  • Adult Mental Health Clinic/Center
  • Portland, ME
  • NPI 1851999841
  NPD Authorized official
• E. Merle Bragdon, PHD, PA

  • Clinical Psychologist
  • Portland, ME
  • NPI 1598069312
  NPD (past)
• Maine Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Portland, ME
  • NPI 1962422964
  NPD (past)
• Tom Negron, PH.D, PA

  dba tom negron, ph.d.

  • Clinical Psychologist
  • Gorham, ME
  • NPI 1194973131
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1669584058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012006",
            "telephone_number": "207-874-1030",
            "fax_number": "207-874-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 MIDDLE ST",
            "address_2": "STE 300",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014075",
            "telephone_number": "207-773-0073",
            "fax_number": "207-772-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTFRIED",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC5554",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316220099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katharine Griffin Gorsky, MD
• Eric Lyle Gosselin, P.T., ATC, CSCS
• Patricia M Gosselin, AU.D.
• Emil C Gotschlich, MD
• Elizabeth Hope Gottfried
• Sujana Gottumukkala, MD
• Benjamin James Goudreau, D.C.
• Kellie Ann P Goudreau, MS, PA-C
• Laurie Goulding
• Michael G Goulding, D.C.

• Clinical Social Worker in Portland, ME
• Providers in Portland, 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 Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.