Organization Active NPI

Calla Lily Counseling LLC

  • Clinical Social Worker
  • Cape Elizabeth, ME
National Provider Identifier
1093654907
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CALLA LILY COUNSELING LLC
Practice address
6 Hermit Thrush Rd
Cape Elizabeth, ME 04107-1402
Phone
(518) 414-4098
NPI assigned
Mar 26, 2026
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Emily Jacobs, LICSW, LCSWNPI 1477096816
Title
Independent Clinical Social Worker
Phone
(518) 414-4098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

6 Hermit Thrush Rd
Cape Elizabeth, ME 04107-1402

Mailing address

6 Hermit Thrush Rd
Cape Elizabeth, ME 04107-1402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260604001559 ME Part B Supplier - Clinic/Group Practice 7012488604 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Elizabeth, ME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1093654907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HERMIT THRUSH RD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041071402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HERMIT THRUSH RD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041071402",
            "telephone_number": "518-414-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLA LILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "INDEPENDENT CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "518-414-4098",
        "authorized_official_credential": "LICSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Elizabeth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.