Active NPI
Margaret Mary Anzalone, LICSW, LMFT
- Clinical Social Worker
- Winslow, ME
National Provider Identifier
1932154234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC16304
- Practice address
- 435 Cushman Rd
Winslow, ME 04901-0751 - Phone
- (978) 314-4763
- NPI assigned
- May 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1023484 | MA | |
| Clinical Social Worker | 1041C0700X | LC16304 | ME | Primary |
Addresses
Primary practice location
435 Cushman Rd
Winslow, ME 04901-0751
Mailing address
435 Cushman Rd
Winslow, ME 04901-0751
Phone (978) 314-4763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LC16304 | Other | ME | MAINE CLINICAL SOCIAL WORK LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1023484 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1932154234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 CUSHMAN RD",
"city": "WINSLOW",
"state": "ME",
"postal_code": "049010751",
"telephone_number": "978-314-4763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 CUSHMAN RD",
"city": "WINSLOW",
"state": "ME",
"postal_code": "049010751",
"telephone_number": "978-314-4763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANZALONE",
"first_name": "MARGARET",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "LICSW, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1023484",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC16304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE CLINICAL SOCIAL WORK LICENSE",
"identifier": "LC16304",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winslow, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.