Individual provider Active NPI

David M Harlan, LCSW

  • Clinical Social Worker
  • Ellsworth, ME
National Provider Identifier
1780776179
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC769 Issued in ME
Practice address
710 Bucksport Rd
Ellsworth, ME 04605
Phone
(207) 667-6890
Fax
(207) 667-6457
NPI assigned
Sep 29, 2006
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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 LC769 ME Primary

Addresses

Primary practice location

710 Bucksport Rd
Ellsworth, ME 04605

Mailing address

180 Academy St Ste 3
Presque Isle, ME 04769-3183
Phone (207) 554-2352

Other practice location 1

Acadia Hospital Corp
268 Stillwater Avenue
Bangor, ME 04402
Phone (207) 973-6100

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
I20050628000913 ME Practitioner - Clinical Social Worker 1850337056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bucksport Regional Health CenterGroup PAC ID 9638135858, 30 clinicians

Practice addresses (Care Compare)

110 Broadway
Bucksport, ME 04416-4612
Phone (207) 469-7371

110 Bucksport
Bucksport, ME 04416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC769MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bucksport Regional Health Center Clinical Current Accepting new patients
Bucksport Regional Health Center CurrentSince Dec 1, 2024 Accepting new patients
Aroostook Mental Health Services, Inc. Clinical CurrentSince Jul 1, 2009 Accepting new patients
Bucksport Regional Health Center Clinical CurrentSince Dec 1, 2024 Accepting new patients
Washington County Psychotherapy Associates, PA Past Accepting new patients
Washington County Psychotherapy Associates, PA Clinical Past Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients

Locations

110 Broadway
Bucksport, ME 04416
Phone (207) 469-7371

127 Palmer St
Calais, ME 04619
Phone (207) 454-0270

43 Hatch Dr
Ste 310
Caribou, ME 04736
Phone (207) 493-3361

37 Commerce Park
Ellsworth, ME 04605
Phone (207) 667-2422

70 Kingsland Xing
Ellsworth, ME 04605
Phone (207) 667-6890

710 Bucksport Rd
Ellsworth, ME 04605
Phone (207) 573-0270

104 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

11 Mill St
Houlton, ME 04730
Phone (207) 532-6523

88 Fox St
#101
Madawaska, ME 04756
Phone (207) 728-6341

14 Steves Ln
Marshfield, ME 04654
Phone (207) 255-0996

180 Academy St
Ste 2
Presque Isle, ME 04769
Phone (207) 764-3319

180 Academy St
Ste 3
Presque Isle, ME 04769
Phone (207) 554-2352

Organizations & group practices 7

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1780776179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ACADEMY ST STE 3",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693183",
            "telephone_number": "207-554-2352",
            "fax_number": "207-554-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BUCKSPORT RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "04605",
            "telephone_number": "207-667-6890",
            "fax_number": "207-667-6457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Acadia Hospital Corp",
            "address_2": "268 Stillwater Avenue",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "04402",
            "country_code": "US",
            "telephone_number": "207-973-6100",
            "fax_number": "207-973-6109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLAN",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

Verify at the official NPI Registry.