Goodwill Industries of Northern New England

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

LS11216 Issued in ME

Legal business name

GOODWILL INDUSTRIES OF NORTHERN NEW ENGLAND

Practice address

26 Portland St
Portland, ME 04101-2912

Phone

(207) 761-8402

Fax

(207) 761-8405

NPI assigned

Aug 26, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Ashley Marie Anderson, LSW/CBIS

Title

Case Manager

Phone

(207) 761-8402

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1962718049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PORTLAND ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012912",
            "telephone_number": "207-761-8402",
            "fax_number": "207-761-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PORTLAND ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012912",
            "telephone_number": "207-761-8402",
            "fax_number": "207-761-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF NORTHERN NEW ENGLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "207-761-8402",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSW/CBIS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ME",
            "license": "LS11216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Goodrich, DPT
• John F Goodrich, MD
• Mallory Michelle Goodrich, DPT
• Ashley Marie Goodspeed
• Goodwill Industries of Northern New England
• Jennifer W. Goodwin, LCSW
• Bernard J. Gordon, MD
• Carrie A Gordon, MD
• Donna Gordon, ANP / FNP
• George David Gordon, DMD

• Case Management Agency in Portland, ME
• Providers in Portland, ME by specialty
• Case Management Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.