Individual provider Active NPI

Alison N. Odlin, LCSW

  • Clinical Social Worker
  • Sanford, ME
National Provider Identifier
1063790517
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC14305 Issued in ME
Practice address
909 Main St Ste B
Sanford, ME 04073-3566
Phone
(207) 387-3671
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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 LC14305 ME Primary

Addresses

Primary practice location

909 Main St Ste B
Sanford, ME 04073-3566

Mailing address

52 Linscott Hill Rd
North Berwick, ME 03906-5127
Phone (207) 387-3671

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
I20131119000978 ME Practitioner - Clinical Social Worker 7618103771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC14305MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1063790517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 LINSCOTT HILL RD",
            "city": "NORTH BERWICK",
            "state": "ME",
            "postal_code": "039065127",
            "telephone_number": "207-387-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 MAIN ST STE B",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040733566",
            "telephone_number": "207-387-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODLIN",
        "first_name": "ALISON",
        "middle_name": "N.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC14305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

Verify at the official NPI Registry.