Active NPI
Mia Loren Yaron, LCSW
- Clinical Social Worker
- Westbrook, ME
National Provider Identifier
1710050885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC12348
- Practice address
- 123 Andover Rd
Westbrook, ME 04092-3848 - Phone
- (207) 661-6071
- Fax
- (207) 661-6056
- NPI assigned
- Nov 16, 2006
- Last updated
- Dec 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13996 | CA | |
| Clinical Social Worker | 1041C0700X | LC12348 | ME | Primary |
Addresses
Primary practice location
123 Andover Rd
Westbrook, ME 04092-3848
Mailing address
123 Andover Rd
Westbrook, ME 04092-3848
Phone (207) 662-6071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3540 | Other | CA | COUNTY ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13996 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
123 Andover Rd
Westbrook, ME 04092
Phone (207) 761-2200
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1710050885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 ANDOVER RD",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040923848",
"telephone_number": "207-662-6071",
"fax_number": "408-876-4230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 ANDOVER RD",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040923848",
"telephone_number": "207-661-6071",
"fax_number": "207-661-6056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARON",
"first_name": "MIA",
"middle_name": "LOREN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "13996",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC12348",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNTY ID",
"identifier": "3540",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.