Individual provider Active NPI

Matthew David Deschaine, MSW, MA

  • Clinical Social Worker
  • Brunswick, ME
National Provider Identifier
1104195775
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC21815 Issued in ME
Practice address
6 Federal St
Brunswick, ME 04011-1508
Phone
(207) 358-9464
NPI assigned
Dec 27, 2011
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 LC21815 ME Primary

Addresses

Primary practice location

6 Federal St
Brunswick, ME 04011-1508

Mailing address

6 Federal St
Brunswick, ME 04011-1508
Phone (207) 358-9464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 1, 2024 through May 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LC21815MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1104195775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FEDERAL ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040111508",
            "telephone_number": "207-358-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FEDERAL ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040111508",
            "telephone_number": "207-358-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESCHAINE",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "MSW, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-27",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC21815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.