Kelly Hartley Mackusick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC6482 Issued in ME

Practice address

980 Forest Ave Ste 207
Portland, ME 04103-3336

Phone

(207) 347-6106

Fax

(207) 347-6113

NPI assigned

Aug 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Hartley Bickmore Former name

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy HospitalGroup PAC ID 6103737812, 307 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.67 of 100Reported as group

Quality

60.7

Promoting interoperability

91

Improvement activities

40

Cost

73.8

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1629078712
  Medicare reassignment Care Compare group NPD
• Mercy Hospital

  • Rural Health Clinic/Center
  • Windham, ME
  • NPI 1396496378
  NPD
• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1427313048
  NPD

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1427539378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FORE RIVER PARKWAY",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-879-3526",
            "fax_number": "207-879-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 FOREST AVE STE 207",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033336",
            "telephone_number": "207-347-6106",
            "fax_number": "207-347-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKUSICK",
        "first_name": "KELLY",
        "middle_name": "HARTLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BICKMORE",
            "middle_name": "HARTLEY",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Mackell, LMT
• Judy Lucile Mackenzie-Laxague, SPEECH PATHOLOGIST
• David C Mackenzie, MD
• Katelyn Mackenzie, CRNA
• William Joseph Mackilligan, R.PH
• Catharine Maclaren, LCSW, CEAP
• Cathel Ah Macleod, MD
• Courtney C. Macleod, PA-C
• Lindsey R Macmillan, CRNA
• Macrae Counseling LLC

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.