Individual provider Active NPI

Derek Stephen Bessey, LCSW

  • Clinical Social Worker
  • Topsham, ME
National Provider Identifier
1336209394
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC5459 Issued in ME
Practice address
63 Elm St Ste B
Topsham, ME 04086-1424
Phone
(207) 725-7592
Fax
(207) 725-7593
NPI assigned
Dec 11, 2006
Last updated
Sep 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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 LC5459 ME Primary

Addresses

Primary practice location

63 Elm St Ste B
Topsham, ME 04086-1424

Mailing address

1 Alan St
Topsham, ME 04086-1801
Phone (207) 798-0981

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051028000613 ME Practitioner - Clinical Social Worker 8426075417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Mental Health Services PastSince Jul 28, 2005 Accepting new patients
Possibilities Counseling Services, Inc. Past Accepting new patients
Spurwink Services Incorporated PastSince Mar 17, 2025 Accepting new patients
Opportunity for Change Counseling Services Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1336209394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALAN ST",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861801",
            "telephone_number": "207-798-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 ELM ST STE B",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861424",
            "telephone_number": "207-725-7592",
            "fax_number": "207-725-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESSEY",
        "first_name": "DEREK",
        "middle_name": "STEPHEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topsham, ME

Sources for this page

Verify at the official NPI Registry.