Individual provider Active NPI

Stephanie Coreau, LCSW

  • Clinical Social Worker
  • Windham, ME
National Provider Identifier
1104252907
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC15227 Issued in ME
Practice address
86 Tandberg TRL
Windham, ME 04062-5841
Phone
(207) 893-0386
Fax
(207) 893-2086
NPI assigned
Sep 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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 LC15227 ME Primary

Addresses

Primary practice location

86 Tandberg TRL
Windham, ME 04062-5841

Mailing address

50 Moody St
Saco, ME 04072-1536
Phone (800) 434-3000

Other practice location 1

50 Moody St
Saco, ME 04072-1536
Phone (800) 434-3000

Other practice location 2

15 York St Unit 201
Biddeford, ME 04005-5531
Phone (207) 893-0386

Other names 1

  • Stephanie Clapp Former name

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
I20150826000492 ME Practitioner - Clinical Social Worker 3870809585 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Day One Clinical CurrentSince Jan 19, 2025 Accepting new patients

Locations

15 York St
Unit 201
Biddeford, ME 04005
Phone (207) 893-0386

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.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1104252907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MOODY ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721536",
            "telephone_number": "800-434-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 TANDBERG TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625841",
            "telephone_number": "207-893-0386",
            "fax_number": "207-893-2086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Moody St",
            "address_purpose": "LOCATION",
            "city": "Saco",
            "state": "ME",
            "postal_code": "040721536",
            "country_code": "US",
            "telephone_number": "800-434-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 York St Unit 201",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040055531",
            "country_code": "US",
            "telephone_number": "207-893-0386",
            "fax_number": "207-893-2086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COREAU",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC15227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "CLAPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Windham, ME

Sources for this page

Verify at the official NPI Registry.