Andreana Patricia Vandemark

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC25072 Issued in ME

Practice address

200 High St Ste 3B
Portland, ME 04101-7803

Phone

(207) 305-4163

NPI assigned

Aug 18, 2023

Last updated

Dec 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Patricia Andreanna Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765584000000",
    "number": "1154104420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGH ST STE 3B",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041017803",
            "telephone_number": "207-649-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH ST STE 3B",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041017803",
            "telephone_number": "207-305-4163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Fore River Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022782",
            "country_code": "US",
            "telephone_number": "207-879-3526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEMARK",
        "first_name": "ANDREANA",
        "middle_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC25072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "ANDERSON",
            "middle_name": "ANDREANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anne Marie Van Hengel, MD
• Adam Orlo Van Kerkhove
• Charles Vanamee, LCSW
• Jay C Vance, MD
• Mitchell Lee Vance, D.C.
• Alison Vanderburgh, CLC
• Otto Wright Vanderhoef
• Courtney Elaine Vannah, IPDH, M.S.
• Vantage Point Counseling LLC
• Amanda Vantassel, M.A., LCMHC

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.