Active NPI
Melanie Hannon, LCSW, LADC
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1063836732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC20073
- Practice address
- 216 Vaughan St
Portland, ME 04102-3204 - Phone
- (207) 662-2221
- Fax
- (207) 810-2367
- NPI assigned
- Feb 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MA | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC8912 | ME | |
| Clinical Social Worker | 1041C0700X | LC20073 | ME | Primary |
Addresses
Primary practice location
216 Vaughan St
Portland, ME 04102-3204
Mailing address
216 Vaughan St
Portland, ME 04102-3204
Phone (207) 662-2221
Other practice location 1
1153 Centre St
Boston, MA 02130-3446
Phone (617) 983-7702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 8, 2022 through Nov 8, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC8912 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| LC20073 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Therapy, LLC | Clinical | Current | Accepting new patients |
Locations
3 Allied Dr
Ste 303
Dedham, MA 02026
Phone (617) 645-4819
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.
-
- Clinical Social Worker
- Dedham, MA
- NPI 1821728056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1063836732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 VAUGHAN ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023204",
"telephone_number": "207-662-2221",
"fax_number": "207-810-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 VAUGHAN ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023204",
"telephone_number": "207-662-2221",
"fax_number": "207-810-2367"
}
],
"practiceLocations": [
{
"address_1": "1153 Centre St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021303446",
"country_code": "US",
"telephone_number": "617-983-7702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNON",
"first_name": "MELANIE",
"credential": "LCSW, LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-14",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC8912",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC20073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.