Individual provider Active NPI

Priscilla Girard, LCSW

  • Clinical Social Worker
  • Waterville, ME
National Provider Identifier
1730414871
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC13240 Issued in ME
Practice address
155 Silver Street
Suite #3
Waterville, ME 04901
Phone
(207) 877-5011
NPI assigned
Oct 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC13240 ME Primary

Addresses

Primary practice location

155 Silver Street
Suite #3
Waterville, ME 04901

Mailing address

155 Silver St Ste 3
Waterville, ME 04901-5851
Phone (207) 877-5011

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1730414871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SILVER ST STE 3",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015851",
            "telephone_number": "207-877-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SILVER STREET",
            "address_2": "SUITE #3",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "04901",
            "telephone_number": "207-877-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRARD",
        "first_name": "PRISCILLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC13240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.