Organization Active NPI

Redefining Therapy LLC

  • Clinical Social Worker
  • Portland, ME
National Provider Identifier
1861934622
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC14128 Issued in ME
Legal business name
REDEFINING THERAPY LLC
Practice address
222 Saint John St
Suite 231
Portland, ME 04102-3000
Phone
(207) 232-3092
Fax
(207) 613-9500
NPI assigned
Nov 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Keita Whitten, LCSW
Title
Owner
Phone
(207) 232-3092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LC14128 ME Primary

Addresses

Primary practice location

222 Saint John St
Suite 231
Portland, ME 04102-3000

Mailing address

222 Saint John St
Suite 231
Portland, ME 04102-3000
Phone (207) 232-3092

National Provider Directory

National Provider Directory

Locations

222 Saint John St
Ste 231
Portland, ME 04102
Phone (207) 232-3092

222 Saint John St
Ste 230
Portland, ME 04102
Phone (207) 232-3092

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1861934622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SAINT JOHN ST",
            "address_2": "SUITE 231",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023000",
            "telephone_number": "207-232-3092",
            "fax_number": "207-613-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SAINT JOHN ST",
            "address_2": "SUITE 231",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023000",
            "telephone_number": "207-232-3092",
            "fax_number": "207-613-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEFINING THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "WHITTEN",
        "authorized_official_first_name": "KEITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-232-3092",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC14128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.