Individual provider Active NPI

Elsa R Mead, LCSW

  • Clinical Social Worker
  • Belfast, ME
National Provider Identifier
1265867451
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
177 Lincolnville Ave
Belfast, ME 04915-7402
Phone
(207) 494-4500
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

177 Lincolnville Ave
Belfast, ME 04915-7402

Mailing address

PO Box 552
Belfast, ME 04915-0552
Phone (207) 494-4500

Other practice location 1

18350 Mount Langley St
Suite 220
Fountain Valley, CA 92708-6900
Phone (714) 378-2620 ext. 4117

Other identifiers 1

IdentifierTypeStateIssuer
1265867451OtherCANASW

Other names 1

  • Elsa Martinez Villegas Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1265867451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 552",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150552",
            "telephone_number": "207-494-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 LINCOLNVILLE AVE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049157402",
            "telephone_number": "207-494-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18350 Mount Langley St",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927086900",
            "country_code": "US",
            "telephone_number": "714-378-2620 x4117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEAD",
        "first_name": "ELSA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NASW",
            "identifier": "1265867451",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELSA",
            "last_name": "VILLEGAS",
            "middle_name": "MARTINEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belfast, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.