Active NPI
Theresa McCartney
- Clinical Social Worker
- Bangor, ME
National Provider Identifier
1811203185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC14088
- Practice address
- 24 Springer Dr Ste 202
Bangor, ME 04401-3655 - Phone
- (207) 992-2535
- NPI assigned
- Aug 25, 2010
- 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 | LC14088 | ME | Primary |
Addresses
Primary practice location
24 Springer Dr Ste 202
Bangor, ME 04401-3655
Mailing address
24 Springer Dr Ste 202
Bangor, ME 04401-3655
Phone (207) 992-2535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 435945499 | Other | ME | PROVIDER ENROLLMENT |
Other names 1
- Theresa Lavoie
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 |
|---|---|---|---|
| LC14088 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spurwink Services Incorporated | Current | Accepting new patients | |
| Androscoggin Home Health Services, Inc. | Past | Accepting new patients |
Locations
1155 Lisbon St
Lewiston, ME 04240
143 Pottle Rd
Oxford, ME 04270
Phone (207) 743-7911
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373500800000",
"number": "1811203185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SPRINGER DR STE 202",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013655",
"telephone_number": "207-992-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 SPRINGER DR STE 202",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013655",
"telephone_number": "207-992-2535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTNEY",
"first_name": "THERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2013-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC14088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ENROLLMENT",
"identifier": "435945499",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "LAVOIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.