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LEARNINGWORKS (FORMERLY PORTLAND WEST) NPI 1154595684


NPI Information

NPI: 1154595684
Provider Name: LEARNINGWORKS (FORMERLY PORTLAND WEST)

Former Legal Business Name: PORTLAND WEST

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
181 BRACKETT ST.
PORTLAND, ME
ZIP 04102
Phone: (207) 775-0105
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LEARNINGWORKS (FORMERLY PORTLAND WEST) is a community behavioral health in Portland, ME. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LEARNINGWORKS (FORMERLY PORTLAND WEST) NPI is 1154595684. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Portland West.

The provider's business location address is:

181 BRACKETT ST.
PORTLAND, ME
ZIP 04102
Phone: (207) 775-0105
Fax: (207) 775-1392

The provider's authorized official is Robert E. Dodge .
The authorized official title is Chief Financial Officer and has the following contact phone number (207) 775-0105.

The enumeration date for this NPI number is 4/16/2008 and was last updated on 10/2/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist566270MAINENo
2251S00000XCommunity/Behavioral Health566270MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1135530099MEDICAIDMAINE
2432302099MEDICAIDMAINE
3432506499MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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