Individual provider Active NPI

Evelyn Edwards Lent, LCSW

  • Clinical Social Worker
  • Lewiston, ME
National Provider Identifier
1871609586
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC1382 Issued in ME
Practice address
443 Main St
Lewiston, ME 04240-6733
Phone
(207) 786-3434
Fax
(207) 786-3411
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC1382 ME Primary

Addresses

Primary practice location

443 Main St
Lewiston, ME 04240-6733

Mailing address

443 Main St
Lewiston, ME 04240-6733
Phone (207) 786-3434

Other identifiers 1

IdentifierTypeStateIssuer
233700000MedicaidME

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1871609586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406733",
            "telephone_number": "207-786-3434",
            "fax_number": "207-786-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406733",
            "telephone_number": "207-786-3434",
            "fax_number": "207-786-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENT",
        "first_name": "EVELYN",
        "middle_name": "EDWARDS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC1382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233700000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.