Andrea B Craig Duplisea, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC16916 Issued in ME

Practice address

127 Palmer St
Calais, ME 04619-1300

Phone

(207) 454-0270

Fax

(207) 454-0775

NPI assigned

Sep 27, 2017

Last updated

Jan 9, 2018By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1801305362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 PALMER ST",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 PALMER ST",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191300",
            "telephone_number": "207-454-0270",
            "fax_number": "207-454-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG DUPLISEA",
        "first_name": "ANDREA",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC16916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Clement, MHRT-CSP
• Coastal Med Tech Inc
• Riley Cooper, D.O.
• Christopher Peter Corcoran, MD
• Jillian M Cowell, MHRT-CSP
• Crawford
• Wendy J Crawford, M.D.
• Lori Ann Crosby, LPN
• Lisa M Cushing, CADC
• Kolapo Olayink Dasilva, MD

• Clinical Social Worker in Calais, ME
• Providers in Calais, 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 Jan 9, 2018; 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.