Active NPI
Christina M. Wilson, LMSW-CC
- Social Worker
- Springvale, ME
National Provider Identifier
1922543370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MC15221
- Practice address
- 474 Main St
Springvale, ME 04083-1409 - Phone
- (207) 324-1500
- Fax
- (207) 490-5263
- NPI assigned
- Dec 21, 2016
- Last updated
- Dec 21, 2016
- 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 | MC15221 | ME | Primary |
Addresses
Primary practice location
474 Main St
Springvale, ME 04083-1409
Mailing address
300 Southborough Dr
Suite 201
South Portland, ME 04106-6914
Phone (207) 661-2018
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 |
|---|---|---|---|
| MC15221 | ME | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1922543370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SOUTHBOROUGH DR",
"address_2": "SUITE 201",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041066914",
"telephone_number": "207-661-2018",
"fax_number": "207-661-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 MAIN ST",
"city": "SPRINGVALE",
"state": "ME",
"postal_code": "040831409",
"telephone_number": "207-324-1500",
"fax_number": "207-490-5263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CHRISTINA",
"middle_name": "M.",
"credential": "LMSW-CC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-21",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "MC15221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springvale, ME
- Donald Prescott Warner, DMD
- Sarah M. Wass
- Donna L. Waterman, LCSW
- Terah Rebekah Watson, LCSW, LADC
- Roberta P. Wentworth, LCSW
- York County Community Action Corp (York County Community Health Care)
- York County Community Action Corp
- York County Community Action Corp
- York County Community Action Corp
- York County Community Action Corps
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.