Active NPI
Augusta O'Reilly, LCSW
- Clinical Social Worker
- Lyman, ME
National Provider Identifier
1720743909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC20488
- Practice address
- 5 Roberts Pond Rd
Lyman, ME 04002-6714 - Phone
- (919) 888-1601
- NPI assigned
- Nov 3, 2021
- Last updated
- Jan 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC20488 | ME | Primary |
Addresses
Primary practice location
5 Roberts Pond Rd
Lyman, ME 04002-6714
Mailing address
5 Roberts Pond Rd
Lyman, ME 04002-6714
Phone (919) 888-1601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC20488 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1720743909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 ROBERTS POND RD",
"city": "LYMAN",
"state": "ME",
"postal_code": "040026714",
"telephone_number": "919-888-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 ROBERTS POND RD",
"city": "LYMAN",
"state": "ME",
"postal_code": "040026714",
"telephone_number": "919-888-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'REILLY",
"first_name": "AUGUSTA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-03",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC20488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lyman, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.