Laurie Flood-Jensen

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MC21380 Issued in ME

Practice address

24 Chase Ave
Waterville, ME 04901-4624

Phone

(207) 861-3500

Fax

(207) 872-1644

NPI assigned

Nov 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mainegeneral Medical CenterGroup PAC ID 1254245715, shared by 4 NPIs, 554 clinicians

Mainegeneral HealthGroup PAC ID 2163316548, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mainegeneral Health

  • Community/Behavioral Health Agency
  • Waterville, ME
  • NPI 1932268026
  Medicare reassignment Care Compare group NPD
• Mainegeneral Health

  • Home Health Agency
  • Waterville, ME
  • NPI 1437243060
  NPD

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1104534098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CHASE AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014624",
            "telephone_number": "207-861-3500",
            "fax_number": "207-872-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CHASE AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014624",
            "telephone_number": "207-861-3500",
            "fax_number": "207-872-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOOD-JENSEN",
        "first_name": "LAURIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC21380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgett A Fisher, NP
• Michelle D Fitzgerald, FNP
• Thomas Fitzpatrick, RPH
• Kayla Lee Flaherty, PTA
• Joshua Ryan Fleenor
• Raymond W. Fluke, M.D.
• Erin Marie Folsom, LPN
• Venessa Folsom
• Garrett Fontaine, MD
• Lisa Lynn Ford, LMT

• Social Worker in Waterville, ME
• Providers in Waterville, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.