MRS. MICHELE ANN MATHIEU BURGESS (NPI# 1558610881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558610881 |
| Entity Type | Individual |
| Full Name | MRS. MICHELE ANN MATHIEU BURGESS |
| Credential | LSW-C |
| Practice Address |
9 Hillcrest Avenue Randolph ME 04346 |
| Mailing Address |
899 Riverside Street Portland ME 04103 |
| Practice Telephone | 2075829205 |
| Practice Fax Number | 2075829653 |
| Mailing Telephone | 2078711211 |
| Mailing Fax Number | 2078711232 |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LSX13488 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972864221 | Michele Burgess | Specialist | 982 Walck Rd, North Tonawanda, NY 14120-3517 | 2012-06-04 |
| 1255435566 | Michele J Burgess | Dermatology | 1733 N Harlem Ave, Chicago, IL 60707 | 2006-09-08 |
| 1114232543 | Michele Lynn Burgess | Physician Assistant | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2010-08-10 |
| Street Address |
9 HILLCREST AVENUE |
| City | RANDOLPH |
| State | ME |
| Zip Code | 04346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396900585 | Carla Jane Mowatt | Counselor | 9 Hillcrest Avenue, Randolph, ME 04346 | 2008-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760637342 | Bonny Lee Saxon | Specialist | 129 Water St, Randolph, ME 04346-5101 | 2008-11-24 |
| 1326376955 | Jesse Higgins Fournier | Occupational Therapy Assistant | 35 Belmont Ave, Randolph, ME 04346-5107 | 2009-11-19 |
| 1154451599 | Jenny L Mcgraw | Social Worker | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2007-03-06 |
| 1124675145 | Sean Cochrane | Social Worker | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2019-08-23 |
| 1417420969 | Michelle Harris | Social Worker | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2019-01-08 |
| 1790050961 | Corrie M Hunkler | Social Worker | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2012-03-20 |
| 1154696771 | Joelle Marie Bouchard | Social Worker | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2012-03-15 |
| 1649411224 | Paula P Lindsey | Social Worker | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2009-03-12 |
| 1457549834 | Roy E Siegfriedt | Counselor | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2007-10-10 |
| 1144439928 | Rebecca Donaldson Patkus | Social Worker | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2007-05-21 |
| Find all providers in zip 04346 | ||||
| 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 |
|---|---|---|---|---|
| 1518337153 | Beatris Ortiz | Social Worker | 855 Route 10 E, Randolph, NJ 07869-1926 | 2015-09-25 |
| 1811365364 | Michael Pino | Social Worker | 99 Arrowgate Dr, Randolph, NJ 07869-5211 | 2015-09-14 |
| 1659774081 | Sandra Ann Castelluccio | Social Worker | 21 Royal St, Randolph, MA 02368 | 2014-09-30 |
| 1154451599 | Jenny L Mcgraw | Social Worker | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2007-03-06 |
| 1447863188 | Nadine Thompson | Social Worker | 42 Diauto Dr, Randolph, MA 02368-4510 | 2020-08-24 |
| 1912475187 | Vanessa C. Enriquez | Social Worker | 42 Diauto Dr, Randolph, MA 02368-4510 | 2018-11-06 |
| 1760971139 | Emily Pizzale | Social Worker | 44 S Main St, Randolph, VT 05060-1381 | 2018-05-01 |
| 1568973410 | Marc Petit-frere | Social Worker | 44 Diauto Dr, Randolph, MA 02368-4536 | 2017-10-18 |
| 1902333784 | June Robinson | Social Worker | 44 Diauto Dr, Randolph, MA 02368-4536 | 2017-05-11 |
| 1750827747 | Sheena Mooney | Social Worker | 400 N Main St, Randolph, MA 02368-4104 | 2017-01-13 |
| Find all providers in RANDOLPH | ||||
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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.