Individual provider Active NPI

Chesley Flotten, LCSW

  • Clinical Social Worker
  • Brunswick, ME
National Provider Identifier
1497259063
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC17044 Issued in ME
Practice address
9 Everett St
Brunswick, ME 04011-2403
Phone
(207) 406-3846
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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 LC17044 ME Primary

Addresses

Primary practice location

9 Everett St
Brunswick, ME 04011-2403

Mailing address

PO Box 824
Brunswick, ME 04011-0824
Phone (207) 406-3846

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
I20180427000097 ME Practitioner - Clinical Social Worker 2567726557 Reassigns benefits to 2 organizations
Practice locations: Brunswick, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC17044MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Mar 20, 2018 Accepting new patients
Mainegeneral Medical Center CurrentSince Mar 20, 2018 Accepting new patients

Locations

361 Old Belgrade Rd
Augusta, ME 04330
Phone (207) 621-6100

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Organizations & group practices 3

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1497259063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040110824",
            "telephone_number": "207-406-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EVERETT ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112403",
            "telephone_number": "207-406-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOTTEN",
        "first_name": "CHESLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.