Individual provider Active NPI

Aaron Michael Landry, LCSW

  • Clinical Social Worker
  • Lewiston, ME
National Provider Identifier
1508851528
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC11034 Issued in ME
Practice address
10 Ware St
Lewiston, ME 04240-6214
Phone
(207) 298-1676
Fax
(207) 298-1676
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16760 FL
Clinical Social Worker 1041C0700X LC11034 ME Primary

Addresses

Primary practice location

10 Ware St
Lewiston, ME 04240-6214

Mailing address

11 Hidden Oaks Dr
Greene, ME 04236-3368
Phone (863) 251-2116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071220000136 ME Practitioner - Clinical Social Worker 7810921863 Reassigns benefits to 2 organizations
I20230308001058 FL Practitioner - Clinical Social Worker 7810921863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Ware St
Lewiston, ME 04240-6214

15 Strawberry Ave
Lewiston, ME 04240-5941

Androscoggin Home Healthcare and Hospice
15 Strawberry Ave
Lewiston, ME 04240-5941

PO Box
Lewiston, ME 04243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC11034MEMDClinical Social Worker
16760FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Nov 8, 2020 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jan 24, 2023 Accepting new patients
Health Affiliates Maine, LLC CurrentSince Mar 4, 2019 Accepting new patients
Central Maine Medical Center CurrentSince Nov 8, 2020 Accepting new patients
Tri-County Mental Health Services Mental Health PastSince Jul 28, 2005 Accepting new patients
Human Service Agency Past Accepting new patients
Spurwink Services Incorporated PastSince Mar 17, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 7

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1508851528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HIDDEN OAKS DR",
            "city": "GREENE",
            "state": "ME",
            "postal_code": "042363368",
            "telephone_number": "863-251-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WARE ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406214",
            "telephone_number": "207-298-1676",
            "fax_number": "207-298-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16760",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.