Active NPI
Elise C Kirkilas, LCSW
- Clinical Social Worker
- Rockport, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC21858
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 169366 | AK | MD | Clinical Social Worker |
| CSW.09928668 | CO | MD | Clinical Social Worker |
| 2934 | NH | MD | Clinical Social Worker |
| 10098-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Past | 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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Pediatric Urology Physician
- Portland, ME
- NPI 1457540486
-
- General Acute Care Hospital
- Rockport, ME
- NPI 1578043378
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockport, ME
- NPI 1982645305
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.