Christine P Carr, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC15413 Issued in ME

Practice address

8 Wesleyan St
Fort Fairfield, ME 04742-2010

Phone

(207) 473-9285

Fax

(207) 498-3591

NPI assigned

Aug 2, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436572800000",
    "number": "1669804548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WESLEYAN ST",
            "city": "FORT FAIRFIELD",
            "state": "ME",
            "postal_code": "047422010",
            "telephone_number": "207-473-9285",
            "fax_number": "207-498-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WESLEYAN ST",
            "city": "FORT FAIRFIELD",
            "state": "ME",
            "postal_code": "047422010",
            "telephone_number": "207-473-9285",
            "fax_number": "207-498-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "CHRISTINE",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2015-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC15413",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010276859",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael John Blandon, DMD
• Marian Bouchard, LCSW
• Heather Mae Cassidy, RPH
• Megan Clark, PMHNP-BC
• Lori Ann Deschaine, LCSW
• Brandon C Doughty
• Dr. Panesar

• Clinical Social Worker in Fort Fairfield, ME
• Providers in Fort Fairfield, 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 Jul 11, 2015; 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.