Active NPI
Jeannie Lou Loos, LMSWCC
- Social Worker
- Ellsworth, ME
National Provider Identifier
1932329794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MC8135
- Practice address
- 204 Water St
Ellsworth, ME 04605-2038 - Phone
- (207) 667-2061
- Fax
- (207) 667-8624
- NPI assigned
- Apr 26, 2007
- 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 | MC8135 | ME | Primary |
Addresses
Primary practice location
204 Water St
Ellsworth, ME 04605-2038
Mailing address
PO Box 32
Kelleytown Rd.
Seal Cove, ME 04674-0032
Phone (207) 244-3528
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 |
|---|---|---|---|
| MC8135 | ME | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1932329794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32",
"address_2": "KELLEYTOWN RD.",
"city": "SEAL COVE",
"state": "ME",
"postal_code": "046740032",
"telephone_number": "207-244-3528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 WATER ST",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046052038",
"telephone_number": "207-667-2061",
"fax_number": "207-667-8624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOS",
"first_name": "JEANNIE",
"middle_name": "LOU",
"name_prefix": "Ms.",
"credential": "LMSWCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "MC8135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellsworth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.