Individual provider Active NPI

Nikkita G Drake, LCSW

  • Clinical Social Worker
  • Norway, ME
National Provider Identifier
1306574124
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC23801 Issued in ME
Practice address
193 Main St Ste 14
Norway, ME 04268-5647
Phone
(844) 292-0111
Fax
(207) 396-7407
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20250206001367 ME Practitioner - Clinical Social Worker 6002346046 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC23801MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Aug 17, 2025 Accepting new patients
Community Clinical Services, Inc CurrentSince Dec 3, 2024 Accepting new patients
Mainehealth CurrentSince Aug 17, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Community Clinical Services, Inc. Current Accepting new patients
Community Clinical Services, Inc. CurrentSince Dec 3, 2024 Accepting new patients

Locations

57 Birch St
Lewiston, ME 04240
Phone (207) 753-5400

100 Campus Ave
Ste 208
Lewiston, ME 04240
Phone (207) 777-8974

193 Main St
Ste 14
Norway, ME 04268
Phone (207) 294-7096

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

37 Andover Rd
Portland, ME 04102
Phone (207) 661-3600

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC23801 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

193 Main St Ste 14
Norway, ME 04268-5647

Mailing address

193 Main St Ste 14
Norway, ME 04268-5647
Phone (844) 292-0111

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL Epic

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 27, 2025.

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1306574124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 MAIN ST STE 14",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685647",
            "telephone_number": "844-292-0111",
            "fax_number": "207-396-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 MAIN ST STE 14",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685647",
            "telephone_number": "844-292-0111",
            "fax_number": "207-396-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "NIKKITA",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC23801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "37 Andover Rd",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041021936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norway, ME

Sources for this page

Verify at the official NPI Registry.