Tradecraft12 Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

TRADECRAFT12 INC.

Practice address

160 Preble St
Portland, ME 04101-2426

Phone

(207) 420-7327

NPI assigned

Dec 11, 2014

Last updated

Jun 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danika Babcock

Title

President

Phone

(207) 329-2444

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Formicola, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Portland, ME
  • NPI 1174163026
  NPD (past)
• Susan Emily Worcester, LCSW, LADC, CCS

  • Clinical Social Worker
  • South Portland, ME
  • NPI 1245894583
  NPD (past)

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496880000000",
    "number": "1740688472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 DEERING STREET",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PREBLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012426",
            "telephone_number": "207-420-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADECRAFT12 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2017-06-08",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "DANIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-329-2444"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Tozier, PA
• Michael Tozier, MD
• Tracy George LLC
• Tracy K Giles PA (Giles Eye Care)
• Alexandra Tracy
• Christian David Trahan, CRNA
• Wyatt John Traina, D.M.D.
• Grace Marie Trainor, PT, DPT
• Whitney Leah Tranchemontagne, FNP
• Michael G Tranfaglia, PA

• Substance Use Disorder Rehabilitation Clinic/Center in Portland, ME
• Providers in Portland, ME by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.