Carlisle E. Blind, LCSW
Individual provider Active NPI Clinical Social Worker · Windham, ME
NPI 1154601532 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1154601532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC14210 (ME)
- Practice address
- 40 Windham Center Rd.
Windham, ME 04062 - Phone
- (207) 856-1500
- Fax
- (207) 856-1518
- NPI assigned
- Aug 17, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health Affiliates Maine, LLC
Practice addresses (Care Compare)
306 Rodman Rd
Auburn, ME 04210-3830
Phone (207) 333-3278
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131121001106 | ME | Practitioner - Clinical Social Worker | 6507092582 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063844 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Affiliates Maine, LLC | Current |
Accepting new patients | |
| Access: Supports for Living Inc | Past | Accepting new patients | |
| Access: Supports for Living Inc. | Past | Accepting new patients |
Locations
306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC14210 | ME | Yes |
Addresses
Primary practice location
40 Windham Center Rd.
Windham, ME 04062
Mailing address
49 Carriage Hill Dr
Windham, ME 04062-4927
Phone (207) 420-1282
Other providers in Windham, ME
- Sameera Bhandari
- Howland W Bickerstaff
- Samantha Marie-Dubay Bickford
- Jacqueline O. Billington
- Anne Marie Blake
- Bliss Residential Care LLC
- Bloom Pediatric Therapy LLC
- Sydney Bloom
- Stefani Rachelle Bock
- Michelle H. Bolen
All providers in Windham, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.