Active NPI
Mary Rose Callain, LCSW, LADC
- Clinical Social Worker
- Cornville, ME
National Provider Identifier
1164737482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC3471
- Practice address
- 32 Spurwink LN
Cornville, ME 04976-6257 - Phone
- (207) 858-0252
- Fax
- (207) 858-0276
- NPI assigned
- Aug 11, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC862 | ME | |
| Clinical Social Worker | 1041C0700X | LC3471 | ME | Primary |
Addresses
Primary practice location
32 Spurwink LN
Cornville, ME 04976-6257
Mailing address
899 Riverside St
Portland, ME 04103-1070
Phone (207) 871-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC862 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| LC3471 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1164737482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "899 RIVERSIDE ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041031070",
"telephone_number": "207-871-1200",
"fax_number": "207-871-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 SPURWINK LN",
"city": "CORNVILLE",
"state": "ME",
"postal_code": "049766257",
"telephone_number": "207-858-0252",
"fax_number": "207-858-0276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAIN",
"first_name": "MARY ROSE",
"name_prefix": "Ms.",
"credential": "LCSW, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC862",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC3471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cornville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.