Active NPI
Allyson Fish, LCSW
- Clinical Social Worker
- Springvale, ME
National Provider Identifier
1487750741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC11903
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LC11903 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connections Counseling PLLC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.