Active NPI
Christine Chaires Oberink, LCSW
- Clinical Social Worker
- South Portland, ME
National Provider Identifier
1962169136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC12309
- 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
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 | 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.