Active NPI
Judith C. Mignogna, LCSW
- Clinical Social Worker
- Standish, ME
National Provider Identifier
1811222490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC11234
- Practice address
- 1 Northeast Rd
Ste. 2-4
Standish, ME 04084-6472 - Phone
- (207) 210-7638
- Fax
- (201) 939-3132
- NPI assigned
- Oct 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | LC11234 | ME | Primary |
Addresses
Primary practice location
1 Northeast Rd
Ste. 2-4
Standish, ME 04084-6472
Mailing address
1 Northeast Rd
Ste. 2-4
Standish, ME 04084-6472
Phone (207) 210-7638
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 |
|---|---|---|---|
| LC11234 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263340800000",
"number": "1811222490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 NORTHEAST RD",
"address_2": "STE. 2-4",
"city": "STANDISH",
"state": "ME",
"postal_code": "040846472",
"telephone_number": "207-210-7638",
"fax_number": "201-939-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 NORTHEAST RD",
"address_2": "STE. 2-4",
"city": "STANDISH",
"state": "ME",
"postal_code": "040846472",
"telephone_number": "207-210-7638",
"fax_number": "201-939-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGNOGNA",
"first_name": "JUDITH",
"middle_name": "C.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-15",
"last_updated": "2010-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC11234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Standish, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.