Organization Active NPI

Laurie Sivonen LCSW LLC

  • Clinical Social Worker
  • Saco, ME
National Provider Identifier
1952855629
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC11993 Issued in ME
Legal business name
LAURIE SIVONEN LCSW LLC
Practice address
4 Scammon St Ste 19-399
Saco, ME 04072-5121
Phone
(207) 221-6644
Fax
(207) 510-8021
NPI assigned
Aug 10, 2016
Last updated
May 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Ms. Laurie Sivonen, LCSWNPI 1053567867
Title
Owner
Phone
(207) 221-6644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC11993 ME Primary

Addresses

Primary practice location

4 Scammon St Ste 19-399
Saco, ME 04072-5121

Mailing address

6 Sokokis Cir
Saco, ME 04072-1874
Phone (207) 221-6644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210922000495 ME Part B Supplier - Clinic/Group Practice 1951708791 Receives reassigned benefits from 1 practitioner
Practice locations: Saco, ME

National Provider Directory

National Provider Directory

Locations

75 Pearl St
Ste 410A
Portland, ME 04101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1952855629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SOKOKIS CIR",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721874",
            "telephone_number": "207-221-6644",
            "fax_number": "207-510-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SCAMMON ST STE 19-399",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040725121",
            "telephone_number": "207-221-6644",
            "fax_number": "207-510-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE SIVONEN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "SIVONEN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-221-6644",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.