Individual provider Active NPI

Divine Mugisha

  • Social Worker
  • Scarborough, ME
National Provider Identifier
1922914712
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
360 US Route 1 Ste 302
Scarborough, ME 04074-6701
Phone
(207) 245-7959
Fax
(207) 774-3540
NPI assigned
Aug 20, 2026
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

360 US Route 1 Ste 302
Scarborough, ME 04074-6701

Mailing address

48 Wilmot St Apt C22
Portland, ME 04101-5417
Phone (207) 245-7959

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

NPI Registry JSON

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1922914712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 WILMOT ST APT C22",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015417",
            "telephone_number": "207-245-7959",
            "fax_number": "207-774-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 US ROUTE 1 STE 302",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040746701",
            "telephone_number": "207-245-7959",
            "fax_number": "207-774-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGISHA",
        "first_name": "DIVINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.