Individual provider Active NPI

Aaron Andrew Fortin, LMSWCC

  • Social Worker
  • Augusta, ME
National Provider Identifier
1184951832
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MC12240 Issued in ME
Practice address
136 State St
Augusta, ME 04330-7416
Phone
(207) 620-3225
Fax
(207) 622-9781
NPI assigned
Nov 17, 2009
Last updated
Nov 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MC12240 ME Primary

Addresses

Primary practice location

136 State St
Augusta, ME 04330-7416

Mailing address

136 State St
Augusta, ME 04330-7416
Phone (207) 620-3225

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
I20130724000003 ME Practitioner - Clinical Social Worker 2567603228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC12240MEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Behavioral Health Organization CurrentSince May 2, 2013 Accepting new patients

Locations

49 Oak St
Augusta, ME 04330
Phone (207) 399-5589

Organizations & group practices 1

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": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1184951832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 STATE ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307416",
            "telephone_number": "207-620-3225",
            "fax_number": "207-622-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 STATE ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307416",
            "telephone_number": "207-620-3225",
            "fax_number": "207-622-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTIN",
        "first_name": "AARON",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "LMSWCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC12240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.