Individual provider Active NPI

Susan Emily Worcester, LCSW, LADC, CCS

  • Clinical Social Worker
  • South Portland, ME
National Provider Identifier
1245894583
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC19591 Issued in ME
Practice address
146 Ocean St Ste 8
South Portland, ME 04106-3664
Phone
(207) 828-7900
Fax
(207) 828-7900
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC7008 ME
Clinical Social Worker 1041C0700X LC19591 ME Primary

Addresses

Primary practice location

146 Ocean St Ste 8
South Portland, ME 04106-3664

Mailing address

146 Ocean St Ste 8
South Portland, ME 04106-3664
Phone (207) 828-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

146 Ocean St
Suite 8
South Portland, ME 04106-3664

687 Highland Ave
Suite 17
Needham, MA 02494-2228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC7008MEMDAddiction (Substance Use Disorder) Counselor
LC19591MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Tide Therapy LLC Addiction (Substance Use Disorder) CurrentSince Sep 20, 2020 Accepting new patients
Tradecraft12 Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1245894583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 OCEAN ST STE 8",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063664",
            "telephone_number": "207-828-7900",
            "fax_number": "207-828-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 OCEAN ST STE 8",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063664",
            "telephone_number": "207-828-7900",
            "fax_number": "207-828-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORCESTER",
        "first_name": "SUSAN",
        "middle_name": "EMILY",
        "credential": "LCSW, LADC, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC7008",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC19591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.