Active NPI
Susan Elizabeth Partridge, MSW, PH.D.
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1942321468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC1407
- Practice address
- 225 Commercial St
Portland, ME 04101-4613 - Phone
- (207) 761-7783
- Fax
- (207) 761-2605
- NPI assigned
- Apr 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC1407 | ME | Primary |
Addresses
Primary practice location
225 Commercial St
Portland, ME 04101-4613
Mailing address
225 Commercial St
Portland, ME 04101-4613
Phone (207) 761-7783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011091 | Other | ME | ANTHEM PROVIDER NUMBER |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC1407 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942321468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 COMMERCIAL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041014613",
"telephone_number": "207-761-7783",
"fax_number": "207-761-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 COMMERCIAL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041014613",
"telephone_number": "207-761-7783",
"fax_number": "207-761-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARTRIDGE",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MSW, PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC1407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "011091",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.