Individual provider Active NPI

Allyson Fish, LCSW

  • Clinical Social Worker
  • Springvale, ME
National Provider Identifier
1487750741
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC11903 Issued in ME
Practice address
21 Bradeen St Ste 204
Springvale, ME 04083-1925
Phone
(207) 502-5886
Fax
(207) 387-7880
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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 LC11903 ME Primary

Addresses

Primary practice location

21 Bradeen St Ste 204
Springvale, ME 04083-1925

Mailing address

PO Box 478
North Berwick, ME 03906-0478
Phone (207) 502-5886

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231002000077 ME Practitioner - Clinical Social Worker 6507210184 Reassigns benefits to 1 organization
Practice locations: Springvale, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 Bradeen St
Suite 204
Springvale, ME 04083-1925
Phone (207) 329-0254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC11903MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Counseling PLLC Clinical CurrentSince Sep 1, 2025 Accepting new patients

Locations

21 Bradeen St
Ste 204
Springvale, ME 04083
Phone (207) 329-0254

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1487750741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 478",
            "city": "NORTH BERWICK",
            "state": "ME",
            "postal_code": "039060478",
            "telephone_number": "207-502-5886",
            "fax_number": "207-387-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BRADEEN ST STE 204",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831925",
            "telephone_number": "207-502-5886",
            "fax_number": "207-387-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "ALLYSON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springvale, ME

Sources for this page

Verify at the official NPI Registry.