Douglas L Popper, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC14004 Issued in ME

Practice address

345 Cottage Rd
South Portland, ME 04106-3919

Phone

(201) 741-0102

NPI assigned

Apr 23, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1760709257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WESCOTT ST",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051625",
            "telephone_number": "201-741-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 COTTAGE RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063919",
            "telephone_number": "201-741-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPER",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05517600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC14004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke A Pluto, M.D.
• Bruce Joy Podhouser, DMD ABO
• Andrea Pomakis, LCSW
• Robert J Poor, PA-C
• Leah Poore, LCSW
• Bobbi Poresky, CADC
• Port City Physical Therapy Limited Partnership
• Port City Physical Therapy Limited Partnership
• Port Resources
• Portcity Home Healthcare LLC

• Clinical Social Worker in South Portland, ME
• Providers in South Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.