Individual provider Active NPI

Jesse D. Audet

  • Clinical Social Worker
  • Lewiston, ME
National Provider Identifier
1245872001
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
9 Jans Blvd
Lewiston, ME 04240-1642
Phone
(207) 240-4938
NPI assigned
Oct 14, 2019
Sex
Male
Sole proprietor
Yes

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
I20231130002263 ME Practitioner - Clinical Social Worker 6103274121 Practice locations: Lewiston, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

9 Jans Blvd
Lewiston, ME 04240-1642

Mailing address

9 Jans Blvd
Lewiston, ME 04240-1642

Other practice location 1

75 Central Ave
Lewiston, ME 04240-6031
Phone (207) 240-4938

Other practice location 2

156 East Ave
Lewiston, ME 04240-5626
Phone (207) 240-4938

Other practice location 3

1457 Maine St
Poland, ME 04274-7333
Phone (207) 240-4938

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 6, 2026.

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1245872001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 JANS BLVD",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042401642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 JANS BLVD",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042401642",
            "telephone_number": "207-240-4938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042406031",
            "country_code": "US",
            "telephone_number": "207-240-4938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "156 East Ave",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042405626",
            "country_code": "US",
            "telephone_number": "207-240-4938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1457 Maine St",
            "address_purpose": "LOCATION",
            "city": "Poland",
            "state": "ME",
            "postal_code": "042747333",
            "country_code": "US",
            "telephone_number": "207-240-4938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUDET",
        "first_name": "JESSE",
        "middle_name": "D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-14",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.