Organization Active NPI

Lisa Crowley LCSW LLC

  • Clinical Social Worker
  • Kennebunk, ME
National Provider Identifier
1699226167
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC8956 Issued in ME
Legal business name
LISA CROWLEY LCSW LLC
Practice address
4 Campbell Cir
Kennebunk, ME 04043-6838
Phone
(207) 205-2054
NPI assigned
Oct 20, 2016
Last updated
Oct 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Lisa Marie Macdonald, MSWNPI 1073968905
Title
Owner
Phone
(207) 205-2054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW110393-01 MA
Clinical Social Worker 1041C0700X LC8956 ME Primary

Addresses

Primary practice location

4 Campbell Cir
Kennebunk, ME 04043-6838

Mailing address

4 Campbell Cir
Kennebunk, ME 04043-6838
Phone (207) 205-2054

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1699226167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CAMPBELL CIR",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436838",
            "telephone_number": "207-205-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CAMPBELL CIR",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436838",
            "telephone_number": "207-205-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA CROWLEY LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-205-2054",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "SW110393-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC8956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.