Active NPI
Jesse D. Audet
- Clinical Social Worker
- Lewiston, ME
National Provider Identifier
1245872001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.