Individual provider Active NPI

Jane L Thurston, LCSW

  • Social Worker
  • Waterville, ME
National Provider Identifier
1063411429
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LC2319 Issued in ME
Practice address
24 Chase Ave
Waterville, ME 04901-4624
Phone
(207) 872-4092
Fax
(207) 872-4085
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LC2319 ME Primary

Addresses

Primary practice location

24 Chase Ave
Waterville, ME 04901-4624

Mailing address

176 Virginia Ave
Rochester, PA 15074-1723
Phone (724) 775-5208

Other practice location 1

176 Virginia Ave
Rochester, PA 15074-1723
Phone (724) 775-5208

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
I20050615000591 ME Practitioner - Clinical Social Worker 1355385832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, shared by 4 NPIs, 554 clinicians
Mainegeneral HealthGroup PAC ID 2163316548, 11 clinicians

Practice addresses (Care Compare)

24 Chase Ave
Waterville, ME 04901-4624
Phone (207) 861-5228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Health CurrentSince Jun 29, 2020 Accepting new patients
Mainegeneral Health CurrentSince Jun 29, 2020 Accepting new patients
Healing Connections, PLLC Past Accepting new patients

Locations

9 Green St
Augusta, ME 04330
Phone (207) 621-3700

149 North St
Ste 3200
Waterville, ME 04901

24 Chase Ave
Waterville, ME 04901
Phone (207) 861-3500

149 North St
Waterville, ME 04901
Phone (207) 622-1959

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1063411429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 VIRGINIA AVE",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150741723",
            "telephone_number": "724-775-5208",
            "fax_number": "724-770-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CHASE AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014624",
            "telephone_number": "207-872-4092",
            "fax_number": "207-872-4085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "PA",
            "postal_code": "150741723",
            "country_code": "US",
            "telephone_number": "724-775-5208",
            "fax_number": "724-770-7914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THURSTON",
        "first_name": "JANE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC2319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.