Individual provider Active NPI

Jennifer E. Olin, LCSW

  • Clinical Social Worker
  • Scarborough, ME
National Provider Identifier
1184074619
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC17715 Issued in ME
Practice address
10 Market St Ste 205
Scarborough, ME 04074-7683
Phone
(207) 503-3583
NPI assigned
Jun 15, 2016
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC5921 ME
Clinical Social Worker 1041C0700X LC17715 ME Primary

Addresses

Primary practice location

10 Market St Ste 205
Scarborough, ME 04074-7683

Mailing address

10 Caldwell Rd
Augusta, ME 04330-5735
Phone (207) 626-3448

Other practice location 1

10 Caldwell Rd
Augusta, ME 04330-5735
Phone (207) 626-3448

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
I20190702002463 ME Practitioner - Clinical Social Worker 4284968785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kennebec Valley Mental Health CenterGroup PAC ID 7113829383, 68 clinicians

Practice addresses (Care Compare)

10 Caldwell Rd
Augusta, ME 04330-5735
Phone (207) 873-2136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CAC5921MEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crisis and Counseling Centers, Inc. Addiction (Substance Use Disorder) CurrentSince May 19, 2019 Accepting new patients
Kennebec Valley Mental Health Center CurrentSince Dec 1, 2024 Accepting new patients
The Counseling Center of Nashua Inc Addiction (Substance Use Disorder) PastSince Jun 1, 2024 Accepting new patients

Locations

10 Caldwell Rd
Augusta, ME 04330
Phone (207) 626-3448

66 Stone St
Augusta, ME 04330
Phone (207) 626-3455

8 Bangor Ln
Augusta, ME 04330

115 Mt Blue Cir
Farmington, ME 04938
Phone (207) 778-9664

5 Commerce Dr
Skowhegan, ME 04976
Phone (207) 474-8311

67 Eustis Pkwy
Waterville, ME 04901
Phone (207) 660-4549

7 Ticonic St
Waterville, ME 04901

736 Old Lewiston Rd
Winthrop, ME 04364
Phone 2073778122 ext. 1407

Organizations & group practices 3

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1184074619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALDWELL RD",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305735",
            "telephone_number": "207-626-3448",
            "fax_number": "207-621-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARKET ST STE 205",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747683",
            "telephone_number": "207-503-3583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Caldwell Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043305735",
            "country_code": "US",
            "telephone_number": "207-626-3448",
            "fax_number": "207-621-6228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIN",
        "first_name": "JENNIFER",
        "middle_name": "E.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC5921",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.