Individual provider Active NPI

Carolee Lindsey, LCSW, LADC

  • Clinical Social Worker
  • Yarmouth, ME
National Provider Identifier
1114087327
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC5039 Issued in ME
Practice address
45 Forest Falls Dr
Ste B2
Yarmouth, ME 04096-6999
Phone
(207) 329-7611
NPI assigned
Dec 11, 2006
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC1224 ME
Clinical Social Worker 1041C0700X LC5039 ME Primary

Addresses

Primary practice location

45 Forest Falls Dr
Ste B2
Yarmouth, ME 04096-6999

Mailing address

25 Winterberry CT
Cumberland, ME 04021-4056
Phone (207) 329-7611

Other identifiers 1

IdentifierTypeStateIssuer
73799MedicaidME

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
I20050524000772 ME Practitioner - Clinical Social Worker 4385686963 Practice locations: Yarmouth, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Oakland College of Medicine and Surgery, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45 Forest Falls Dr
Suite B2
Yarmouth, ME 04096-6999
Phone (207) 329-7611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC1224MEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Neurobehavioral Services, P.a. CurrentSince Jul 28, 2021 Accepting new patients
Catholic Charities Maine Addiction (Substance Use Disorder) PastSince Jan 1, 2020 Accepting new patients
SGR, Inc. Past Accepting new patients
Andrew Berglund, LCSW, LLC Clinical Past Accepting new patients

Locations

45 Forest Falls Dr
Ste B2
Yarmouth, ME 04096
Phone (207) 329-7611

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1114087327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WINTERBERRY CT",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040214056",
            "telephone_number": "207-329-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FOREST FALLS DR",
            "address_2": "STE B2",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966999",
            "telephone_number": "207-329-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "CAROLEE",
        "name_prefix": "Ms.",
        "credential": "LCSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC1224",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73799",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

Verify at the official NPI Registry.