Active NPI
Samantha Maristany, LCSW LADC CCS LICSW
- Clinical Social Worker
- South Portland, ME
National Provider Identifier
1255931697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC21139
- Practice address
- 725 Main St
South Portland, ME 04106-5424 - Phone
- (207) 331-4371
- NPI assigned
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC21139 | ME | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CCS8543 | ME | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC8009 | ME | |
| Clinical Social Worker | 1041C0700X | LICSW126257 | MA |
Addresses
Primary practice location
725 Main St
South Portland, ME 04106-5424
Mailing address
725 Main St
South Portland, ME 04106-5424
Phone (207) 331-4371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCS8543 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| LC8009 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| LICSW126257 | MA | MD | Clinical Social Worker |
| LC21139 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| For Me, LLC | Current | Accepting new patients | |
| Day One | Counselor | Past | Accepting new patients |
Locations
725 Main St
South Portland, ME 04106
Phone (207) 331-4371
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Portland, ME
- NPI 1487432266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1255931697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 MAIN ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065424",
"telephone_number": "207-331-4371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 MAIN ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065424",
"telephone_number": "207-331-4371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARISTANY",
"first_name": "SAMANTHA",
"name_prefix": "Dr.",
"credential": "LCSW LADC CCS LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC21139",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "CCS8543",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC8009",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW126257",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.