Jessica Lindsay Hodgdon, LCSW
Individual provider Active NPI Clinical Social Worker · Mount Vernon, ME
NPI 1194916007 · NPPES record last updated Sep 2, 2018
Key facts
- NPI
- 1194916007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC12134 (ME)
- Practice address
- 270 Wings Mills Rd.
Mount Vernon, ME 04352 - Phone
- (207) 512-5131
- Fax
- (888) 293-3442
- NPI assigned
- Aug 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC12134 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Counseling Center PLLC | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC12134 | ME | Yes |
Addresses
Primary practice location
270 Wings Mills Rd.
Mount Vernon, ME 04352
Mailing address
PO Box 251
Manchester, ME 04351-0251
Phone (207) 512-5131
Other providers in Mount Vernon, ME
- Breezy Acres Behavioral Health
- Shannon Leighanne Cooper
- Kenneth Cass Elliott
- Taylor Lyn Hodgdon-McBurney
- Nancy June Holland
- Amy Christine Jajliardo
- Kristen Jiorle
- Lori A Kaley
- Jacquelin M Lovering
All providers in Mount Vernon, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.