Individual provider Active NPI

Joni Hope Altshuler, LCSW

  • Clinical Social Worker
  • South Portland, ME
National Provider Identifier
1235145079
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC7503 Issued in ME
Practice address
963 Broadway
South Portland, ME 04106-4206
Phone
(207) 773-3599
NPI assigned
Aug 1, 2006
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC7503 ME Primary

Addresses

Primary practice location

963 Broadway
South Portland, ME 04106-4206

Mailing address

42 Ocean View Ave
South Portland, ME 04106-3009
Phone (207) 799-4069

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
I20120214000746 ME Practitioner - Clinical Social Worker 9638116619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

963 Broadway
South Portland, ME 04106-4206
Phone (207) 773-3599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC7503MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Way Home, Inc. Clinical CurrentSince Mar 15, 2010 Accepting new patients
NJ Center for the Healing Arts, Inc. Past Accepting new patients

Locations

25 Middle St
Ste 3
Portland, ME 04101
Phone (207) 773-3599

963 Broadway
South Portland, ME 04106
Phone (207) 613-2470

Organizations & group practices 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1235145079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 OCEAN VIEW AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063009",
            "telephone_number": "207-799-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 BROADWAY",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064206",
            "telephone_number": "207-773-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTSHULER",
        "first_name": "JONI",
        "middle_name": "HOPE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC7503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.