Individual provider Active NPI

Abigail Leah Spadone, LMSW-CC

  • Clinical Social Worker
  • Portland, ME
National Provider Identifier
1750747952
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MC14794 Issued in ME
Practice address
66 State St
Portland, ME 04101-3751
Phone
(207) 871-7431
Fax
(207) 871-7457
NPI assigned
Jan 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 MC14794 ME Primary

Addresses

Primary practice location

66 State St
Portland, ME 04101-3751

Mailing address

66 State St
PO Box 797
Portland, ME 04101-3751
Phone (207) 871-7431

Other names 1

  • Abigail Leah Kirschbaum Former name

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

LicenseStateTypeSpecialty
MC14794MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1750747952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 STATE ST",
            "address_2": "PO BOX 797",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013751",
            "telephone_number": "207-871-7431",
            "fax_number": "207-871-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 STATE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013751",
            "telephone_number": "207-871-7431",
            "fax_number": "207-871-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADONE",
        "first_name": "ABIGAIL",
        "middle_name": "LEAH",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC14794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "KIRSCHBAUM",
            "middle_name": "LEAH",
            "credential": "LMSW-CC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.