MR. ALLEN ROBERT NORTHUP (NPI# 1023125242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023125242 |
| Entity Type | Individual |
| Full Name | MR. ALLEN ROBERT NORTHUP |
| Credential | LCC LPE |
| Practice Address |
169 Park Row Brunswick ME 04011 |
| Mailing Address |
169 Park Row Brunswick ME 04011-2039 |
| Practice Telephone | 2077295426 |
| Practice Fax Number | 2077252473 |
| Mailing Telephone | 2077295426 |
| Mailing Fax Number | 2077252473 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 741-LPE | ME | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 272-LCPC | ME | Behavioral Health & Social Service Providers |
| Street Address |
169 PARK ROW |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679510515 | Richard A Voit | Psychologist | 169 Park Row, Suite 5, Brunswick, ME 04011-2039 | 2006-05-31 |
| 1629166608 | Dorothy Chaisson | Social Worker | 169 Park Row, Suite 7, Brunswick, ME 04011 | 2006-10-11 |
| 1366533242 | Leslie Joy Simmons | Counselor | 169 Park Row, Brunswick, ME 04011 | 2006-09-27 |
| 1588760359 | Howard T Rosenfield | Psychiatry & Neurology | 169 Park Row, Ste 7, Brunswick, ME 04011 | 2006-09-16 |
| 1821192113 | Miles A Simmons | Psychiatry & Neurology | 169 Park Row, Suite 7, Brunswick, ME 04011 | 2006-09-08 |
| 1013025808 | Jean M Principe | Psychologist | 169 Park Row, Brunswick, ME 04011 | 2006-08-29 |
| 1669404497 | David B Nagler | Psychiatry & Neurology | 169 Park Row, Suite 7, Brunswick, ME 04011-2039 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083050686 | Jessica Sherwood | Social Worker | 3498 Hanover Dr, Brunswick, OH 44212-1891 | 2013-05-22 |
| 1396886578 | Averil L Fessenden | Social Worker | 153b Park Row, Brunswick, ME 04011-7743 | 2007-02-09 |
| 1912542416 | Abbie Lynn Dufrene | Social Worker | 62 Pegasus St, Brunswick, ME 04011-5028 | 2019-11-08 |
| 1467959106 | Ruth Brinson Ward | Social Worker | 502 Gloucester St Ste 204, Brunswick, GA 31520-7092 | 2018-04-10 |
| 1639610249 | Charlotte Nash | Social Worker | 502 Gloucester St Ste 204, Brunswick, GA 31520-7092 | 2017-03-15 |
| 1225481666 | Emily Reed | Social Worker | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-07-21 |
| 1932562568 | Whitney Whittington | Social Worker | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-03-31 |
| 1962876664 | Elizabeth D Kramer | Social Worker | 329 Bath Rd, Brunswick, ME 04011-2673 | 2015-11-18 |
| 1962886671 | Cara Hansen | Social Worker | 7 Saint Andrews Ct, Brunswick, GA 31520 | 2015-07-13 |
| 1013306976 | Vanessa Walker | Social Worker | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2015-01-15 |
| Find all providers in BRUNSWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.