John Richard Pasquarelli, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC6836 Issued in ME

Practice address

2 Water St
Suite 2
Houlton, ME 04730-2126

Phone

(207) 532-5510

Fax

(207) 532-5518

NPI assigned

May 22, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821207887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "address_2": "175 BENN HILL ROAD",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301004",
            "telephone_number": "207-521-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WATER ST",
            "address_2": "SUITE 2",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047302126",
            "telephone_number": "207-532-5510",
            "fax_number": "207-532-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUARELLI",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Houlton, ME
• Providers in Houlton, 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 Jul 9, 2007; 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.