Individual provider Active NPI

Jennifer Appleby, LCSW

  • Social Worker
  • Warren, ME
National Provider Identifier
1154794667
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LC10807 Issued in ME
Practice address
331 Four Rod Rd
Warren, ME 04864-4661
Phone
(207) 837-8813
NPI assigned
Nov 5, 2015
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LC10807 ME Primary

Addresses

Primary practice location

331 Four Rod Rd
Warren, ME 04864-4661

Mailing address

331 Four Rod Rd
Warren, ME 04864-4661
Phone (207) 837-8813

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
I20170331001937 ME Practitioner - Clinical Social Worker 9931484078 Reassigns benefits to 1 organization
Practice locations: Warren, ME; S Portland, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22 Cottage Rd
S Portland, ME 04106-3670
Phone (207) 837-8813

331 Four Rod Rd
Warren, ME 04864-4661
Phone (207) 837-8813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC10807MEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spurwink Services Incorporated CurrentSince Feb 22, 2017 Accepting new patients
Spurwink Services Incorporated Past Accepting new patients

Locations

901 Washington Ave
Ste 100
Portland, ME 04103
Phone 20787112112145

9 Hillcrest Ave
Randolph, ME 04346
Phone (207) 582-9205

Organizations & group practices 2

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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1154794667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 FOUR ROD RD",
            "city": "WARREN",
            "state": "ME",
            "postal_code": "048644661",
            "telephone_number": "207-837-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 FOUR ROD RD",
            "city": "WARREN",
            "state": "ME",
            "postal_code": "048644661",
            "telephone_number": "207-837-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEBY",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC10807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, ME

Sources for this page

Verify at the official NPI Registry.