Mary Andrea Hall, LICSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW110511 Issued in MA

Practice address

111 Franklin Health CMNS
Farmington, ME 04938-6144

Phone

(207) 778-0482

NPI assigned

Jul 17, 2007

Last updated

Mar 13, 2021By 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

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1689873853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FRANKLIN HEALTH CMNS",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386144",
            "telephone_number": "207-778-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FRANKLIN HEALTH CMNS",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386144",
            "telephone_number": "207-778-0482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Cummings Center",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "01915",
            "country_code": "US",
            "telephone_number": "978-968-1700",
            "fax_number": "617-414-8306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "MARY",
        "middle_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "LICSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110511",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW110511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen J Goss, D.O.
• Sarah Dehaan Gray, MD
• Julie D Grosvenor, MD
• Ellen Miriam Grunblatt, MD, LCPC
• Eric V Gunther, M.D.
• Deborah J Hamilton, M.D.
• Paula Hammerick, D.M.D.
• Kathy Hammond, PT
• Jennielea A Hanna, CNM
• Hannaford Bros Co LLC (Hannaford Food and Drug)

• Clinical Social Worker in Farmington, ME
• Providers in Farmington, 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 Mar 13, 2021; 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.