Individual provider Active NPI

Marie Dawn Miller, LCSW

  • Clinical Social Worker
  • Dover Foxcroft, ME
National Provider Identifier
1174281695
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC20139 Issued in ME
Practice address
1 Whittier St
Dover Foxcroft, ME 04426-3730
Phone
(207) 357-3669
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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 LC20139 ME Primary

Addresses

Primary practice location

1 Whittier St
Dover Foxcroft, ME 04426-3730

Mailing address

1 Whittier St
Dover Foxcroft, ME 04426-3730
Phone (207) 357-3669

Other practice location 1

24 Chase Ave
Waterville, ME 04901-4624
Phone (207) 872-4092

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
I20231025003543 ME Practitioner - Clinical Social Worker 9234585324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, shared by 4 NPIs, 554 clinicians
Mainegeneral HealthGroup PAC ID 2163316548, 11 clinicians

Practice addresses (Care Compare)

24 Chase Ave
Waterville, ME 04901-4624
Phone (207) 861-5228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Health CurrentSince Aug 30, 2023 Accepting new patients
Mainegeneral Health CurrentSince Aug 30, 2023 Accepting new patients

Locations

9 Green St
Augusta, ME 04330
Phone (207) 621-3700

24 Chase Ave
Waterville, ME 04901
Phone (207) 861-3500

149 North St
Rm 264
Waterville, ME 04901

149 North St
Waterville, ME 04901
Phone (207) 622-1959

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1174281695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WHITTIER ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044263730",
            "telephone_number": "207-357-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WHITTIER ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044263730",
            "telephone_number": "207-357-3669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Chase Ave",
            "address_purpose": "LOCATION",
            "city": "Waterville",
            "state": "ME",
            "postal_code": "049014624",
            "country_code": "US",
            "telephone_number": "207-872-4092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARIE",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC20139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

Verify at the official NPI Registry.