Cameron Maxwell Ives, MSW,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC4866 Issued in ME

Practice address

86 Tandberg TRL
Windham, ME 04062-5841

Phone

(207) 893-0386

Fax

(207) 893-2086

NPI assigned

Nov 30, 2006

Last updated

Oct 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gus Ives Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Spurwink Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1760507297
  NPD (past)
• Tri-County Mental Health Services

  • Mental Health Counselor
  • Lewiston, ME
  • NPI 1215979158
  NPD (past)
• Suzanne Herrmann LCSW LLC

  • Clinical Social Worker
  • Morristown, NJ
  • NPI 1205035243
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1972671089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1360",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040621360",
            "telephone_number": "207-893-0386",
            "fax_number": "207-893-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 TANDBERG TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625841",
            "telephone_number": "207-893-0386",
            "fax_number": "207-893-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVES",
        "first_name": "CAMERON",
        "middle_name": "MAXWELL",
        "credential": "MSW,LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC4866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUS",
            "last_name": "IVES",
            "credential": "MSW, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristen Cushman Inman, MOT, OTR/L
• Innovative Prosthetic Solutions, Inc
• Richard Michael Intiso, DMD PA
• Fabrice Iraduha
• Blaise Ishimwe, DSP
• Jackson Surgical Assisting Services LLC.
• Michael James Jackson, RNFA
• Warren Jackson, OD
• Patricia Jacobsen Kaczmarek, LMT
• Jeffrey E Martin MD

• Clinical Social Worker in Windham, ME
• Providers in Windham, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.