Individual provider Active NPI

Mary Small, LCSW

  • Clinical Social Worker
  • Farmington, ME
National Provider Identifier
1770594681
Registry record updated Aug 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC6846 Issued in ME
Practice address
176 Livermore Falls Rd
Ste a
Farmington, ME 04938-6243
Phone
(207) 512-4801
Fax
(207) 778-4939
NPI assigned
Aug 10, 2006
Last updated
Aug 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2009

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 LC6846 ME Primary

Addresses

Primary practice location

176 Livermore Falls Rd
Ste a
Farmington, ME 04938-6243

Mailing address

176 Livermore Falls Rd
Ste a
Farmington, ME 04938-6243
Phone (207) 512-4801

Other identifiers 1

IdentifierTypeStateIssuer
431894599MedicaidME

Other names 1

  • Mary Armstrong Other name

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
I20050524000966 ME Practitioner - Clinical Social Worker 6103868716 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Counseling Center, P.a. CurrentSince Jan 19, 2020 Accepting new patients
Mainehealth Past Accepting new patients
Evergreen Behavioral Services PastSince Aug 27, 2016 Accepting new patients
Possibilities Counseling Services, Inc. Past Accepting new patients

Locations

96 Main St
Livermore Fls, ME 04254
Phone (207) 645-9770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14575/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250899200000",
    "number": "1770594681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 LIVERMORE FALLS RD",
            "address_2": "STE A",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386243",
            "telephone_number": "207-512-4801",
            "fax_number": "207-778-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 LIVERMORE FALLS RD",
            "address_2": "STE A",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386243",
            "telephone_number": "207-512-4801",
            "fax_number": "207-778-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431894599",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ARMSTRONG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farmington, ME

Sources for this page

Verify at the official NPI Registry.