Individual provider Active NPI

Elise C Kirkilas, LCSW

  • Clinical Social Worker
  • Rockport, ME
National Provider Identifier
1174996185
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC21858 Issued in ME
Practice address
15 Anchor Dr Ste 202
Rockport, ME 04856-3848
Phone
(207) 301-5800
Fax
(207) 301-5332
NPI assigned
Nov 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2934 NH
Clinical Social Worker 1041C0700X CSW.09928668 CO
Clinical Social Worker 1041C0700X 10098-123 WI
Clinical Social Worker 1041C0700X 169366 AK
Clinical Social Worker 1041C0700X LC21858 ME Primary

Addresses

Primary practice location

15 Anchor Dr Ste 202
Rockport, ME 04856-3848

Mailing address

15 Anchor Dr Ste 202
Rockport, ME 04856-3848
Phone (207) 301-5800

Other practice location 1

524 E Cecil St
Neenah, WI 54956-3819
Phone (203) 612-0514

Other names 1

  • Elise C Kapitancek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220907000598 WI Practitioner - Clinical Social Worker 7416331632
I20250321002488 ME Practitioner - Clinical Social Worker 7416331632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

15 Anchor Dr
Rockport, ME 04856-3848

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
169366AKMDClinical Social Worker
CSW.09928668COMDClinical Social Worker
2934NHMDClinical Social Worker
10098-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Mar 31, 2025 Accepting new patients
Mainehealth CurrentSince Mar 31, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth PastSince Mar 24, 2025 Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

15 Anchor Dr
Ste 202
Rockport, ME 04856
Phone (207) 301-3640

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1174996185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ANCHOR DR STE 202",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048563848",
            "telephone_number": "207-301-5800",
            "fax_number": "207-301-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ANCHOR DR STE 202",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048563848",
            "telephone_number": "207-301-5800",
            "fax_number": "207-301-5332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 E Cecil St",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549563819",
            "country_code": "US",
            "telephone_number": "203-612-0514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKILAS",
        "first_name": "ELISE",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2934",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928668",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "10098-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "169366",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC21858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "KAPITANCEK",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockport, ME

Sources for this page

Verify at the official NPI Registry.