Stephanie E Brockman
Social Worker in Portland, ME. Individual provider (NPI-1).
NPI number1851947576
StatusActive
Last updated in NPPESAug 19, 2019
Details
- NPI
- 1851947576
- Entity type
- Individual (NPI-1)
- Name
- Stephanie E Brockman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2019
- Last updated
- Aug 19, 2019
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 |
|---|---|---|---|---|
| 104100000X | Social Worker | MC18033 | ME | Yes |
Practice location
901 Washington Ave Ste 100Portland, ME 04103-2842
Phone 207-871-1200 · Fax 207-871-1232
Mailing address
901 Washington Ave Ste 100Portland, ME 04103-2842
Phone 207-871-1200 · Fax 207-871-1232
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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All 101 Social Worker providers in Portland · All 7,184 providers in Portland
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