Laurie Lynn Weatherhead

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LS18254 Issued in ME

Practice address

8 Northern Rd
Presque Isle, ME 04769-2040

Phone

(207) 764-4756

Fax

(207) 540-1091

NPI assigned

Sep 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Micmac Health Department

  • Community Health Clinic/Center
  • Presque Isle, ME
  • NPI 1881232346
  NPD (past)

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1689491573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NORTHERN RD",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692040",
            "telephone_number": "207-764-4756",
            "fax_number": "207-540-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 NORTHERN RD",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692040",
            "telephone_number": "207-764-4756",
            "fax_number": "207-540-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERHEAD",
        "first_name": "LAURIE",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LS18254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Eastern Co Inc
• Christina Wall, LCSW
• Amanda Martha Ward
• Norma K Watson, LCSW
• Laurence A Watterson, M.D.
• Barry Wecker, MD
• David A Weed, DO
• Well Spring Health Center
• B A. Wells-Alexander, LCSW
• Louis Wesley, M.D.

• Social Worker in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.