Organization Active NPI

Way Home, Inc.

  • Clinical Social Worker
  • South Portland, ME
National Provider Identifier
1376559120
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC7503 Issued in ME
Legal business name
WAY HOME, INC.
Practice address
963 Broadway
South Portland, ME 04106-4206
Phone
(207) 773-3599
NPI assigned
Aug 1, 2006
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Ms. Joni Hope Altshuler, LCSWNPI 1235145079
Title
President
Phone
(207) 773-3599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LC7503 ME Primary

Addresses

Primary practice location

963 Broadway
South Portland, ME 04106-4206

Mailing address

42 Ocean View Ave
South Portland, ME 04106-3009
Phone (207) 799-4069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120214000687 ME Part B Supplier - Clinic/Group Practice 6901064310 Receives reassigned benefits from 1 practitioner
Practice locations: South Portland, ME

National Provider Directory

National Provider Directory

Locations

25 Middle St
Ste 3
Portland, ME 04101
Phone (207) 773-3599

963 Broadway
South Portland, ME 04106
Phone (207) 613-2470

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1376559120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 OCEAN VIEW AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063009",
            "telephone_number": "207-799-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 BROADWAY",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064206",
            "telephone_number": "207-773-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAY HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "ALTSHULER",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-773-3599",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC7503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.