Individual provider Active NPI

Elizabeth Jane Hennedy-Friel, L.C.S.W.

  • Clinical Social Worker
  • Saco, ME
National Provider Identifier
1891874236
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC2922 Issued in ME
Practice address
890 Portland Rd
Suite 6
Saco, ME 04072-9600
Phone
(207) 284-2145
Fax
(207) 284-6025
NPI assigned
Nov 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LC2922 ME Primary

Addresses

Primary practice location

890 Portland Rd
Suite 6
Saco, ME 04072-9600

Mailing address

19 Oceanview Dr
Biddeford, ME 04005-9555
Phone (207) 283-3651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000175 ME Practitioner - Clinical Social Worker 0941251615 Practice locations: Saco, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

890 Portland Rd
Suite 6
Saco, ME 04072-9600
Phone (207) 284-2145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC2922MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891874236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 OCEANVIEW DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059555",
            "telephone_number": "207-283-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 PORTLAND RD",
            "address_2": "SUITE 6",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040729600",
            "telephone_number": "207-284-2145",
            "fax_number": "207-284-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEDY-FRIEL",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC2922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

Verify at the official NPI Registry.