Nicholas Pfenning, CADC

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

19 Whitney Ave
Portland, ME 04102-2521

Phone

(207) 332-2991

NPI assigned

Mar 16, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1972964120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WHITNEY AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022521",
            "telephone_number": "207-332-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WHITNEY AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022521",
            "telephone_number": "207-332-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFENNING",
        "first_name": "NICHOLAS",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Peura, LCPC-C
• George Peyser
• Christopher Pezzullo, D.O.
• Roger T Pezzuti, M.D.
• Kristen Pfeifle, M.S
• Rachel Elise Pferdehirt, M.D.
• Rishi Phakey, DMD
• Andrew Phan, MD
• Pharmerica East LLC
• Brianna Marie Philbrick, MD

• Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.