Individual provider Active NPI

Mary W Auslander, LCSW

  • Clinical Social Worker
  • Damariscotta, ME
National Provider Identifier
1730457904
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC12719 Issued in ME
Practice address
10 Bristol Road
Damariscotta, ME 04543-4601
Phone
(207) 563-1336
NPI assigned
Dec 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2015

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 LC12719 ME Primary

Addresses

Primary practice location

10 Bristol Road
Damariscotta, ME 04543-4601

Mailing address

PO Box 274
Damariscotta, ME 04543-0274
Phone (207) 563-1336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130205000071 ME Practitioner - Clinical Social Worker 8325292097 Practice locations: Damariscotta, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Bristol Rd
Damariscotta, ME 04543-4000
Phone (207) 563-1336

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": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1730457904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 274",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045430274",
            "telephone_number": "207-563-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BRISTOL ROAD",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434601",
            "telephone_number": "207-563-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSLANDER",
        "first_name": "MARY",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC12719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Damariscotta, ME

Sources for this page

Verify at the official NPI Registry.