George R Carpenter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC5893 Issued in ME

Practice address

407 Alfred St
Park One Eleven
Biddeford, ME 04005-3760

Phone

(207) 284-5554

Fax

(207) 284-5551

NPI assigned

Jul 31, 2006

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.

• Maine Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Biddeford, ME
  • NPI 1891733309
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1871508317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SPRINGBROOK DRIVE",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053253",
            "telephone_number": "207-282-1500",
            "fax_number": "207-282-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 ALFRED ST",
            "address_2": "PARK ONE ELEVEN",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053760",
            "telephone_number": "207-284-5554",
            "fax_number": "207-284-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "GEORGE",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Campos, M.D.
• Christin Candela
• Christopher Paul Canning, PA
• Austin Cantara
• Samantha Aileen Caola, LCPC-C, MS
• Lisa H Carpenter, DO
• Sally Carpenter, N.P.
• Michael Carroll, M.D.
• Katherine Casale, PSYD
• Caitlin L Cashman, LMSW CC

• Clinical Social Worker in Biddeford, ME
• Providers in Biddeford, 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 16, 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.