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
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 Primary

Addresses

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

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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.