Jessica S Stevens, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC16709 Issued in ME

Practice address

24 Stone St Ste 201
Community Health and Counseling Services
Augusta, ME 04330-5209

Phone

(207) 213-2157

NPI assigned

Sep 27, 2013

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)

Enrolled

State licenses

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1437586062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NARROWS POND RD",
            "city": "WINTHROP",
            "state": "ME",
            "postal_code": "043643647",
            "telephone_number": "207-485-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 STONE ST STE 201",
            "address_2": "COMMUNITY HEALTH AND COUNSELING SERVICES",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305209",
            "telephone_number": "207-213-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JESSICA",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC15374",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC16709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Greene, PH.D. PC
• Demitri Anthony Stern, CADC, MHRT/C, CA
• Steven R. Zembroski DMD Inc
• Amy Rose Stevens, R.D.H.
• Gregory Stevens, DO
• Josephine Stevens, LCSW
• Maria Palmer Stevens, LMSW
• Robert B Stevens, DO
• Todd Stevens
• Bernadette O Stevenson, MD

• Clinical Social Worker in Augusta, ME
• Providers in Augusta, 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 Dec 12, 2019; 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.