Active NPI
Mariela Jacome
- Social Worker
- Portland, ME
National Provider Identifier
1871321497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 230474
- Practice address
- 28 Marion St Apt 2
Portland, ME 04101-6038 - Phone
- (518) 929-7990
- NPI assigned
- Jul 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 230474 | MA | Primary |
Addresses
Primary practice location
28 Marion St Apt 2
Portland, ME 04101-6038
Mailing address
28 Marion St Apt 2
Portland, ME 04101-6038
Phone (518) 929-7990
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230474 | MA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1871321497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 MARION ST APT 2",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041016038",
"telephone_number": "518-929-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 MARION ST APT 2",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041016038",
"telephone_number": "518-929-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOME",
"first_name": "MARIELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "230474",
"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 Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.