Andrew Parker, LCSW
Social Worker, Clinical in South Portland, ME. Individual provider (NPI-1).
NPI number1003944752
StatusActive
Last updated in NPPESJul 10, 2007
Details
- NPI
- 1003944752
- Entity type
- Individual (NPI-1)
- Name
- Andrew Parker
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 2, 2007
- Last updated
- Jul 10, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | MC9966 | ME | Yes |
Practice location
854 BroadwaySouth Portland, ME 04106-2712
Phone 207-776-8146 · Fax 207-799-2303
Mailing address
117 Osborne AveSouth Portland, ME 04106-4447
Phone 207-776-8146 · Fax 207-779-2303
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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