Active NPI
Danielle F Duckworth, LCPC
- Professional Counselor
- Sanford, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC6989
- Practice address
- 69 Eagle Drive
Sanford, ME 04073 - Phone
- (207) 490-4071
- NPI assigned
- Sep 12, 2019
- Last updated
- Sep 29, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CCS7995 | ME | |
| Professional Counselor | 101YP2500X | CC6989 | ME | Primary |
Addresses
Primary practice location
69 Eagle Drive
Sanford, ME 04073
Mailing address
11 Baxter Blvd FL 2
Portland, ME 04101-1801
Phone (603) 883-0005
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
329 Bath Rd
Brunswick, ME 04011-2673
Phone (207) 373-3177
50 Moody St
Saco, ME 04072-1536
Phone (800) 434-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCS7995 | ME | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweetser | Current | Accepting new patients |
Locations
329 Bath Rd
Brunswick, ME 04011
Phone (207) 373-3012
50 Moody St
Saco, ME 04072
Phone (207) 284-5981
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saco, ME
- NPI 1538122445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1922658913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BAXTER BLVD FL 2",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041011801",
"telephone_number": "603-883-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 EAGLE DRIVE",
"city": "SANFORD",
"state": "ME",
"postal_code": "04073",
"telephone_number": "207-490-4071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCKWORTH",
"first_name": "DANIELLE",
"middle_name": "F",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "CCS7995",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC6989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.