Samuel C. Harvell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC14498 Issued in ME

Practice address

1321 Washington Ave Ste 304
Portland, ME 04103-3675

Phone

(603) 361-5174

Fax

(207) 221-9986

NPI assigned

Dec 15, 2011

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alternative Wellness Services

  • Community/Behavioral Health Agency
  • Biddeford, ME
  • NPI 1982046207
  NPD (past)
• White Crescent Wellness, LLC

  • Clinical Social Worker
  • Portland, ME
  • NPI 1699273607
  NPD (past)

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1841569175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 WASHINGTON AVE STE 304",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033675",
            "telephone_number": "603-361-5174",
            "fax_number": "207-221-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 WASHINGTON AVE STE 304",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033675",
            "telephone_number": "603-361-5174",
            "fax_number": "207-221-9986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112690",
            "country_code": "US",
            "telephone_number": "207-373-9417",
            "fax_number": "207-373-9418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVELL",
        "first_name": "SAMUEL",
        "middle_name": "C.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-15",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC14498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Warner Harrison, MSW
• Alyssa J Hart
• Valerie Hart, EDD APRN
• Michael Lane Hartford, P.T.
• Christina Deniord Harvell, NP-C
• Kathy A Harvey-Brown, LMSW/C
• Amy Christine Harvey, PA-C
• Debbi-Jo Harvey, P.T.
• Elise M Harvey, FNP
• Heather Stewart Harvey, LCPC-C

• Clinical Social Worker in Portland, ME
• Providers in Portland, 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 Mar 29, 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.