Individual provider Active NPI

Carol S Despres, LCSW

  • Clinical Social Worker
  • Farmington, ME
National Provider Identifier
1366715856
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC16057 Issued in ME
Practice address
144 High St Ste 1
Farmington, ME 04938-1997
Phone
(207) 778-3556
Fax
(207) 778-3558
NPI assigned
Feb 15, 2012
Last updated
Jan 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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 LC16057 ME Primary

Addresses

Primary practice location

144 High St Ste 1
Farmington, ME 04938-1997

Mailing address

117 Brown Rd
Durham, ME 04222-5213
Phone (207) 330-5803

Other practice location 1

300 pine street
lewiston, ME 04240
Phone (207) 777-3399

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: No
  • 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, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

190 US Route 1
Falmouth, ME 04105-1313

39 Capitol Hill Rd
New Sweden, ME 04762-3500

9 Berkley St
Fitchburg, MA 01420-2520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LC16057MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Knowing Clinical Therapy LLC Clinical CurrentSince Sep 25, 2020 Accepting new patients
Central Maine Family Counseling PA Past Accepting new patients
Spurwink Services Incorporated PastSince Mar 17, 2025 Accepting new patients

Locations

190 US Route 1
Falmouth, ME 04105
Phone (207) 781-8008

Organizations & group practices 3

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": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1366715856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BROWN RD",
            "city": "DURHAM",
            "state": "ME",
            "postal_code": "042225213",
            "telephone_number": "207-330-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 HIGH ST STE 1",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049381997",
            "telephone_number": "207-778-3556",
            "fax_number": "207-778-3558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 pine street",
            "address_purpose": "LOCATION",
            "city": "lewiston",
            "state": "ME",
            "postal_code": "04240",
            "country_code": "US",
            "telephone_number": "207-777-3399",
            "fax_number": "207-777-3391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESPRES",
        "first_name": "CAROL",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC16057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, ME

Sources for this page

Verify at the official NPI Registry.