Individual provider Active NPI

Heather A. Trickett, LCSW

  • Clinical Social Worker
  • Portland, ME
National Provider Identifier
1083920169
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC16008 Issued in ME
Practice address
165 Lancaster St
Portland, ME 04101-2406
Phone
(207) 874-1030
Fax
(207) 874-1044
NPI assigned
Aug 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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 LC16008 ME Primary

Addresses

Primary practice location

165 Lancaster St
Portland, ME 04101-2406

Mailing address

300 Southborough Dr
Suite 201
South Portland, ME 04106-6914
Phone (207) 661-2018

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
I20160908000862 ME Practitioner - Clinical Social Worker 9234425844 Reassigns benefits to 2 organizations
Practice locations: Lewiston, ME; Portland, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Androscoggin Home Health Services IncGroup PAC ID 2668467614, 42 clinicians

Practice addresses (Care Compare)

15 Strawberry Ave
Lewiston, ME 04240-5941
Phone (207) 777-7740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC16008MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Androscoggin Home Health Services, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Mainehealth Current Accepting new patients
Androscoggin Home Health Services, Inc. Clinical CurrentSince Jan 1, 2021 Accepting new patients
Mainehealth CurrentSince Jan 1, 2019 Accepting new patients
Mainehealth CurrentSince Jan 1, 2019 Accepting new patients
Androscoggin Home Health Services, Inc Current Accepting new patients
Androscoggin Home Health Services, Inc. Clinical Past Accepting new patients

Locations

236 Stetson Rd
Auburn, ME 04210
Phone (207) 333-6300

165 Capitol St
Augusta, ME 04330
Phone (207) 623-1170

498 Essex St
Ste 104
Bangor, ME 04401
Phone (207) 947-0768

175 Portland Rd
Ste 4
Bridgton, ME 04009
Phone 2077777740 ext. 5225

1073 W Main St
Dover Foxcroft, ME 04426
Phone (207) 564-0200

176 Livermore Falls Rd
Farmington, ME 04938
Phone 2077777740 ext. 3208

15 Strawberry Ave
Lewiston, ME 04240
Phone (207) 520-9329

710 Main St
#2
Lewiston, ME 04240
Phone (207) 770-0639

72 Strawberry Ave
Lewiston, ME 04240
Phone (207) 782-2150

39 Main St
Ste 3
Norway, ME 04268
Phone 2077777740 ext. 6202

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

165 Lancaster St
Portland, ME 04101
Phone (207) 874-1030

181 Academy St
Ste 6
Presque Isle, ME 04769
Phone (207) 741-1050

78 Atlantic Pl
South Portland, ME 04106
Phone (207) 661-6654

180 Main St
Ste 2
Waterville, ME 04901
Phone (207) 872-5300

284 Main St
Ste 390
Wilton, ME 04294
Phone (207) 645-5304

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCEGDD/Endpoint/HCEGDD

Organizations & group practices 7

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": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1083920169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SOUTHBOROUGH DR",
            "address_2": "SUITE 201",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066914",
            "telephone_number": "207-661-2018",
            "fax_number": "207-661-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 LANCASTER ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012406",
            "telephone_number": "207-874-1030",
            "fax_number": "207-874-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICKETT",
        "first_name": "HEATHER",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC16008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.