Individual provider Active NPI

Jeffrey Paul Wilber, LCSW

  • Clinical Social Worker
  • Belfast, ME
National Provider Identifier
1003837782
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC6982 Issued in ME
Practice address
9 Field St Ste 104
Belfast Center
Belfast, ME 04915-6661
Phone
(207) 338-4308
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC6982 ME Primary

Addresses

Primary practice location

9 Field St Ste 104
Belfast Center
Belfast, ME 04915-6661

Mailing address

9 Field St Ste 104
Belfast Center
Belfast, ME 04915-6661
Phone (207) 338-4308

Other identifiers 1

IdentifierTypeStateIssuer
296680099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615001504 ME Practitioner - Clinical Social Worker 9032193214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Affiliates Maine, LLCGroup PAC ID 1951594076, 169 clinicians

Practice addresses (Care Compare)

306 Rodman Rd
Auburn, ME 04210-3830
Phone (207) 333-3278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC6982MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetser CurrentSince May 31, 2017 Accepting new patients
Health Affiliates Maine, LLC CurrentSince Mar 15, 2025 Accepting new patients
Protea Behavioral Health Services Past Accepting new patients

Locations

306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278

187 Exchange St
Bangor, ME 04401
Phone (207) 990-0605

28 Sweetser Dr
Belfast, ME 04915
Phone (207) 284-5981

9 Field St
Ste 104
Belfast, ME 04915
Phone (207) 338-4308

329 Bath Rd
Brunswick, ME 04011
Phone (207) 373-3012

52 Water St
Hallowell, ME 04347
Phone (207) 620-7196

50 Moody St
Saco, ME 04072
Phone (207) 284-5981

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1003837782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FIELD ST STE 104",
            "address_2": "BELFAST CENTER",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156661",
            "telephone_number": "207-338-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 FIELD ST STE 104",
            "address_2": "BELFAST CENTER",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156661",
            "telephone_number": "207-338-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBER",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296680099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

Verify at the official NPI Registry.