Individual provider Active NPI

Lydia Crafts, LCSW

  • Clinical Social Worker
  • Newcastle, ME
National Provider Identifier
1134556194
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MC14439 Issued in ME
Practice address
39 River Rd
Newcastle, ME 04553-3802
Phone
(207) 593-2664
NPI assigned
Oct 4, 2013
Last updated
Apr 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220729001386 ME Practitioner - Clinical Social Worker 8527440171 Practice locations: Newcastle, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC14439MEMDClinical 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.

FacilityTypeRoleSince
Coves EdgeDamariscotta, ME, CCN 205067 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.

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

Verify at the official NPI Registry.