Peaceful Me, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC16134 Issued in ME

Legal business name

PEACEFUL ME, PLLC

Practice address

253 Main St
Yarmouth, ME 04096-6800

Phone

(207) 613-6263

NPI assigned

Sep 24, 2017

Organization subpart

No

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

Authorized official

Name

Alyssa Antkies, LCSW, CADC

Title

President

Phone

(207) 613-6263

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1506211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506211200000",
    "number": "1770092652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 MAIN ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 MAIN ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966800",
            "telephone_number": "207-613-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL ME, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-24",
        "last_updated": "2017-09-24",
        "status": "A",
        "authorized_official_last_name": "ANTKIES",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-613-6263",
        "authorized_official_credential": "LCSW, CADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC16134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Yarmouth, ME
• Providers in Yarmouth, 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 Sep 24, 2017; 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.