Jill Rayworth, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC18247 Issued in ME

Practice address

535 Ocean Ave Ste 4
Portland, ME 04103-4970

Phone

(207) 370-5389

NPI assigned

Oct 8, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1366845034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 OCEAN AVE STE 4",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034970",
            "telephone_number": "207-370-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 OCEAN AVE STE 4",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034970",
            "telephone_number": "207-370-5389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Brighton Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041021047",
            "country_code": "US",
            "telephone_number": "207-494-8010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYWORTH",
        "first_name": "JILL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "MC18247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Chiropractic PA
• Raymond Greenleaf
• Bruce Lorne Raymond, RN
• Gregg M Raymond, M.D.
• Jamie Todd Raymond, D.C.
• Nina Razavi, MD
• Setareh Razzaghi, DDS MS
• Frank Wildman Read, MD
• Reagan Family Dentistry, PLLC
• Real Care Maine LLC

• Mental Health Counselor in Portland, ME
• Providers in Portland, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.