Individual provider Active NPI

Amelia Patricia Petrucci, LMSW-CC

  • Clinical Social Worker
  • Biddeford, ME
National Provider Identifier
1023901659
Registry record updated Jul 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MC24786 Issued in ME
Practice address
15 York St Ste 201a
Biddeford, ME 04005-5532
Phone
(207) 893-0386
NPI assigned
Jun 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2025

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 MC24786 ME Primary

Addresses

Primary practice location

15 York St Ste 201a
Biddeford, ME 04005-5532

Mailing address

15 York St
Biddeford, ME 04005-5532

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
I20250922001448 ME Practitioner - Clinical Social Worker 9436653474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Day OneGroup PAC ID 9032249644, 6 clinicians

Practice addresses (Care Compare)

86 Tandberg TRL
Windham, ME 04062-5841
Phone (207) 893-0386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC24786MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Day One Clinical CurrentSince Sep 1, 2025 Accepting new patients

Locations

15 York St
Unit 201
Biddeford, ME 04005
Phone (207) 893-0386

Organizations & group practices 1

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": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1023901659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 YORK ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040055532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 YORK ST STE 201A",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040055532",
            "telephone_number": "207-893-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUCCI",
        "first_name": "AMELIA",
        "middle_name": "PATRICIA",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC24786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.