Active NPI
Debra Ellen Levenseller, LCSW
- Clinical Social Worker
- Waterville, ME
National Provider Identifier
1780850511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC12752
- Practice address
- 325C Kennedy Memorial Dr
Waterville, ME 04901-4517 - Phone
- (207) 692-4660
- NPI assigned
- May 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC12752 | ME | Primary |
Addresses
Primary practice location
325C Kennedy Memorial Dr
Waterville, ME 04901-4517
Mailing address
44 Dirigo Rd
Belgrade, ME 04917-3255
Phone (207) 692-4660
Other practice location 1
93 Silver St
Waterville, ME 04901-5923
Phone (207) 873-4253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432819899 | Medicaid | ME |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC12752 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1780850511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 DIRIGO RD",
"city": "BELGRADE",
"state": "ME",
"postal_code": "049173255",
"telephone_number": "207-692-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325C KENNEDY MEMORIAL DR",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014517",
"telephone_number": "207-692-4660"
}
],
"practiceLocations": [
{
"address_1": "93 Silver St",
"address_purpose": "LOCATION",
"city": "Waterville",
"state": "ME",
"postal_code": "049015923",
"country_code": "US",
"telephone_number": "207-873-4253",
"fax_number": "207-873-6612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVENSELLER",
"first_name": "DEBRA",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC12752",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432819899",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.