Active NPI
Elizabeth Pierce, LMSW-CC
- Clinical Social Worker
- Bridgton, ME
National Provider Identifier
1902324403
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Nov 19, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MC16839
- Practice address
- 5 Owl LN Apt B
Bridgton, ME 04009-3966 - Phone
- (207) 318-9996
- NPI assigned
- Sep 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MC16839 | ME | Primary |
Addresses
Primary practice location
5 Owl LN Apt B
Bridgton, ME 04009-3966
Mailing address
5 Owl LN Apt B
Bridgton, ME 04009-3966
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC16839 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504569600000",
"number": "1902324403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 OWL LN APT B",
"city": "BRIDGTON",
"state": "ME",
"postal_code": "040093966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 OWL LN APT B",
"city": "BRIDGTON",
"state": "ME",
"postal_code": "040093966",
"telephone_number": "207-318-9996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "ELIZABETH",
"credential": "LMSW-CC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2017-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC16839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.