Nicole Mank, LCSW, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NICOLE MANK, LCSW, LLC

Practice address

126 Western Ave # 1026
Augusta, ME 04330-7249

Phone

(207) 242-8359

Fax

(207) 560-9093

NPI assigned

Oct 4, 2019

Last updated

Oct 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Mank, LCSW

Title

Owner

Phone

(207) 242-8359

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1871134478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 WESTERN AVE # 1026",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307249",
            "telephone_number": "207-242-8359",
            "fax_number": "207-560-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 WESTERN AVE # 1026",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307249",
            "telephone_number": "207-242-8359",
            "fax_number": "207-560-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE MANK, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "MANK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-242-8359",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@nmanklcsw.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPAA Compliant domain/email",
            "address_1": "126 Western Ave # 1026",
            "city": "Augusta",
            "state": "ME",
            "country_code": "US",
            "postal_code": "043307249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Waldron Newkirk-Sanborn, PH.D.
• Frances Newman
• Neil A Newton, M.D.
• Patricia Mary Ngara, ARNP
• Jamie Lee Nickerson, DPT
• Lauren Niles, PHARM.D.
• Jennifer Lynn Noftall, MPT
• Stuart Kenneth Norris, LMFT
• Zachary Michael Norris, PA-C
• North Star Kapwa Counseling

• Community/Behavioral Health Agency in Augusta, ME
• Providers in Augusta, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.