Individual provider Active NPI

Christine Chaires Oberink, LCSW

  • Clinical Social Worker
  • South Portland, ME
National Provider Identifier
1962169136
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC12309 Issued in ME
Practice address
MMC Wellness and Weight Managment
41 Donald B. Dean Drive
South Portland, ME 04096
Phone
(207) 661-5105
NPI assigned
Nov 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC12309 ME Primary

Addresses

Primary practice location

MMC Wellness and Weight Managment
41 Donald B. Dean Drive
South Portland, ME 04096

Mailing address

MMC Weight and Wellness Program
41 Donald B. Dean Drive
South Portland, ME 04106
Phone (207) 661-5105

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

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1962169136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MMC WEIGHT AND WELLNESS PROGRAM",
            "address_2": "41 DONALD B. DEAN DRIVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-661-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMC WELLNESS AND WEIGHT MANAGMENT",
            "address_2": "41 DONALD B. DEAN DRIVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04096",
            "telephone_number": "207-661-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERINK",
        "first_name": "CHRISTINE",
        "middle_name": "CHAIRES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC12309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.