MARY LAVINA FREDRICKS (NPI# 1376510412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376510412 |
| Entity Type | Individual |
| Full Name | MARY LAVINA FREDRICKS |
| Credential | LCSW |
| Practice Address |
38 Union St Livermore Falls ME 04254 |
| Practice Telephone | 2078976601 |
| Practice Fax Number | 2078974339 |
| Mailing Telephone | 2078976601 |
| Mailing Fax Number | 2078974339 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2012-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ME129365 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM | 047005 | 01 |
| ME | 218840099 | 05 |
| Street Address |
38 UNION ST |
| City | LIVERMORE FALLS |
| State | ME |
| Zip Code | 04254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164494662 | Mary Dunlap | Family Medicine | 38 Union St, Livermore Falls, ME 04254-1229 | 2006-02-07 |
| 1821560764 | Livermore Falls Addiction Medicine LLC | Family Medicine | 38 Union St, Livermore Falls, ME 04254-1229 | 2018-12-17 |
| 1487919312 | Dorothy M Thayer Md LLC | Family Medicine | 38 Union St, Livermore Falls, ME 04254-1229 | 2012-07-06 |
| 1568538940 | Michael T Rowland | Family Medicine | 38 Union St, Livermore Falls, ME 04254-1229 | 2006-11-28 |
| 1952334864 | Deborah J Hamilton | Family Medicine | 38 Union St, Livermore Falls, ME 04254-1229 | 2006-07-07 |
| 1427023324 | Dorothy Marie Thayer | Family Medicine | 38 Union St, Livermore Falls, ME 04254-1229 | 2006-02-22 |
| 1093780983 | Eleanore Simeone Schneid | Nurse Practitioner | 38 Union St, Livermore Falls, ME 04254 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285038174 | Joline Sage | Nurse Practitioner | 16 Depot St Suite 300, Livermore Falls, ME 04254 | 2014-10-21 |
| 1871568766 | Rockomeka Family Practice LLC | Clinic/Center | 38 Union Street, Livermore Falls, ME 04254 | 2006-02-22 |
| 1497728133 | Healthreach Community Health Centers | Clinic/Center | 16 Depot St, Suite 300, Livermore Falls, ME 04254 | 2006-02-13 |
| 1316925225 | William P Beeaker | Optometrist | 32 Main St, Livermore Falls, ME 04254-0705 | 2006-01-03 |
| 1770761041 | William P. Beeaker, O.d. | Eyewear Supplier (Equipment, not the service) | 32 Main St, Livermore Falls, ME 04254-0705 | 2008-02-08 |
| 1922566751 | Jennifer Delker | Nurse Practitioner | 21 Main St, Livermore Falls, ME 04254-1219 | 2019-03-11 |
| 1811451081 | Mainehealth | Clinic/Center | 21 Main St, Livermore Falls, ME 04254-1219 | 2019-01-22 |
| 1023043254 | James S Smith | Family Medicine | 21 Main St, Livermore Falls, ME 04254-1219 | 2006-07-12 |
| 1821064767 | Lenia A Coates | Physician Assistant | 21 Main St, Livermore Falls, ME 04254-1219 | 2006-02-28 |
| 1720068240 | Heidi Caton Decker | Family Medicine | 21 Main St, Franklin Health Livermore Falls Family Practice, Livermore Falls, ME 04254-1219 | 2006-01-19 |
| Find all providers in zip 04254 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578457 | Julia L Orr | Social Worker | 20 Cheverus Rd, Cape Elizabeth, ME 04107-1204 | 2020-11-06 |
| 1265032957 | Randy Neblett | Social Worker | 104 Main St Unit 1105, Blue Hill, ME 04614-1743 | 2020-10-30 |
| 1871100867 | Purely Spirit Holistic Health, LLC | Social Worker | 226 Stevens Ave Apt 9, Portland, ME 04102-2263 | 2020-09-24 |
| 1831704964 | Cary Rae Millbury | Social Worker | 16 Middle Street, Farmington, ME 04938 | 2020-09-15 |
| 1508471095 | Tighe Blackadar | Social Worker | 46 Evans Rd, Bridgton, ME 04009-3957 | 2020-09-10 |
| 1245845130 | Crescent Psychotherapy | Social Worker | 168 Neal St, Portland, ME 04102-3343 | 2020-09-09 |
| 1295348894 | Alicyn Faythe Romprey | Social Worker | 5 Bragdon Ln, Kennebunk, ME 04043-7262 | 2020-08-25 |
| 1639781354 | Inner Knowing Clinical Therapy LLC | Social Worker | 117 Brown Rd, Durham, ME 04222-5213 | 2020-08-24 |
| 1629687454 | Rebekah Jean Hadiaris | Social Worker | 5 Hadiaris Ln, Saco, ME 04072-1669 | 2020-07-28 |
| 1699383315 | Tracy Flagg | Social Worker | Sacopee Valley Middle School, 137 South Hiram Rd, Hiram, ME 04041 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
| City | LIVERMORE FALLS |
| Zip Code | 04254 |
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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.