Organization Active NPI

Mishla Dean, LCSW, LLC

  • Clinical Social Worker
  • South Portland, ME
National Provider Identifier
1730004243
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MISHLA DEAN, LCSW, LLC
Practice address
36 Cornell St
South Portland, ME 04106-6146
Phone
(617) 229-9823
NPI assigned
Aug 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Mishla Baz Dean, LCSW
Title
Owner
Phone
(617) 229-9823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

36 Cornell St
South Portland, ME 04106-6146

Mailing address

36 Cornell St
South Portland, ME 04106-6146
Phone (617) 229-9823

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1730004243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CORNELL ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066146",
            "telephone_number": "617-229-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CORNELL ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066146",
            "telephone_number": "617-229-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHLA DEAN, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "MISHLA",
        "authorized_official_middle_name": "BAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-229-9823",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.