Active NPI
Lydia Crafts, LCSW
- Clinical Social Worker
- Newcastle, ME
National Provider Identifier
1134556194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MC14439
- Practice address
- 39 River Rd
Newcastle, ME 04553-3802 - Phone
- (207) 593-2664
- NPI assigned
- Oct 4, 2013
- Last updated
- Apr 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MC14439 | ME | Primary |
Addresses
Primary practice location
39 River Rd
Newcastle, ME 04553-3802
Mailing address
19 Timber Lane
Newcastle, ME 04553
Phone (207) 593-2664
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220729001386 | ME | Practitioner - Clinical Social Worker | 8527440171 | Practice locations: Newcastle, ME |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC14439 | ME | MD | Clinical Social Worker |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Coves Edge | Skilled nursing facility | Corporate Director Trustee of the SNF |
Oct 1, 2024 Oct 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Coves Edge Nursing Facility
- Nursing Facility/Intermediate Care Facility
- Damariscotta, ME
- NPI 1477648962
Corporate Director, Trustee of the SNF
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1134556194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 TIMBER LANE",
"city": "NEWCASTLE",
"state": "ME",
"postal_code": "04553",
"telephone_number": "207-593-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 RIVER RD",
"city": "NEWCASTLE",
"state": "ME",
"postal_code": "045533802",
"telephone_number": "207-593-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAFTS",
"first_name": "LYDIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-04",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC14439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newcastle, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.