Ravinder GS Hayreh, LMSW/C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC13097 Issued in ME

Practice address

31 Spurwink Dr
Chelsea, ME 04330-1166

Phone

(207) 582-7686

Fax

(207) 582-7688

NPI assigned

Jan 16, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spurwink Services

  • Speech-Language Pathologist
  • Portland, ME
  • NPI 1982930657
  NPD (past)

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1679710339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 RIVERSIDE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031070",
            "telephone_number": "207-871-1200",
            "fax_number": "207-871-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SPURWINK DR",
            "city": "CHELSEA",
            "state": "ME",
            "postal_code": "043301166",
            "telephone_number": "207-582-7686",
            "fax_number": "207-582-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYREH",
        "first_name": "RAVINDER",
        "middle_name": "GS",
        "credential": "LMSW/C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-16",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC13097",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC11953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Brianna Gilbert-Alley, LMSW
• Emily Gilman, FNP-C
• Christine L Goodrich, OQMHP
• Nathan S Hallowell, LCPC/C
• Roxanne V Hardt
• Carla Jane Heisten, LMT
• David G Hutchins, DPM
• Corey David Jamison, LMSW/CC
• Kennebec Valley Case Management Service
• Carrie S Khalvati

• All providers in Chelsea, ME
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.