Laura Malone Wakeman, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC23079 Issued in ME

Practice address

160 Dublin St
Machias, ME 04654-3409

Phone

(207) 255-3400

NPI assigned

Jul 31, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastport Health Care, IncGroup PAC ID 3577592880, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8309/brand/1/csg/1/fhir/r4
• Direct secure messaging: laura.wakeman.1@8309.direct.athenahealth.com

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.

• Eastport Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Eastport, ME
  • NPI 1093752917
  Medicare reassignment Care Compare group NPD
• Eastport Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Machias, ME
  • NPI 1295020691
  NPD

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1053921437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MOOSENECK RD",
            "city": "ADDISON",
            "state": "ME",
            "postal_code": "046063543",
            "telephone_number": "617-272-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 DUBLIN ST",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046543409",
            "telephone_number": "207-255-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEMAN",
        "first_name": "LAURA",
        "middle_name": "MALONE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "26104",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC23079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Town of Marshfield (Northfield School Department School Union 102)
• Town of Marshfield (Marshfield School Department School Union 102)
• Town of Roque Bluffs (Roque Bluffs School Department School Union 102)
• Town of Wesley
• Town of Whitneyville (Whitneyville School Department School Union 102)
• Walgreen Eastern Co Inc (Walgreens #17481)
• Elizabeth W. Walsh, LCSW
• Beth Wands, FNP
• Washington County Psychotherapy Associates, PA
• Mary J Wegrzyn, LCSW

• Clinical Social Worker in Machias, ME
• Providers in Machias, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.