Active NPI
Judith E. Feibus, LCSW
- Clinical Social Worker
- Houlton, ME
National Provider Identifier
1962517102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC6081
- Practice address
- 11 Mill St
Houlton, ME 04730-1877 - Phone
- (207) 532-6523
- Fax
- (207) 532-3873
- NPI assigned
- Aug 20, 2006
- Last updated
- Feb 2, 2021
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC6081 | ME | Primary |
Addresses
Primary practice location
11 Mill St
Houlton, ME 04730-1877
Mailing address
180 Academy St Ste 3
Presque Isle, ME 04769-3183
Phone (207) 554-2352
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6081 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington County Psychotherapy Associates, PA | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1962517102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 ACADEMY ST STE 3",
"city": "PRESQUE ISLE",
"state": "ME",
"postal_code": "047693183",
"telephone_number": "207-554-2352",
"fax_number": "207-554-2351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MILL ST",
"city": "HOULTON",
"state": "ME",
"postal_code": "047301877",
"telephone_number": "207-532-6523",
"fax_number": "207-532-3873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEIBUS",
"first_name": "JUDITH",
"middle_name": "E.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC6081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houlton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.