PREBLE STREET
NPI 1205086527
Case Management in Portland, ME

Active since September 23, 2008CLIA 20D2147810 · Waiver
343 CUMBERLAND STREET, PORTLAND, ME 04101(207) 775-0026(207) 842-3614 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Preble Street NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREBLE STREET (NPI 1205086527) is a healthcare organization registered as a case management in Portland, Maine and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Mark Swann, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205086527
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NamePREBLE STREET
Location Address343 CUMBERLAND STREETPortland, ME 04101
Mailing Address55 Portland StPortland, ME 04101-2921 · (207) 775-0026 · Fax (207) 842-3614
Fax(207) 842-3614
Organization SubpartYes
Authorized OfficialMark SwannExecutive Director · (207) 775-0026
Enumeration DateSeptember 23, 2008
Last NPPES UpdateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
NPI 1205086527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
343 CUMBERLAND STREET, Portland, ME 04101

Other Names 1

Other NameTeen Center

Other Identifiers 1

Medicaid431576202ME

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2147810

Preble Street Learning Collaborative · Portland, ME
Active · expires May 22, 2028
CLIA Number20D2147810
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorEmily I. Zarookian
Laboratory Phone(207) 661-4701
Laboratory LocationPreble Street Learning Collaborative20 Portland St, Portland, ME 04101
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Preble Street's NPI number?

The NPI number for Preble Street is 1205086527. It was assigned to this organization in the NPPES registry on September 23, 2008. The provider is also known as Teen Center.

Where is Preble Street located?

Preble Street is located at 343 Cumberland Street, Portland, ME 04101. The listed phone number is (207) 775-0026.

What is Preble Street's specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

Does Preble Street hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2147810) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Preble Street was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.