Active NPI
Aaron Michael Landry, LCSW
- Clinical Social Worker
- Lewiston, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC11034
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LC11034 | ME | MD | Clinical Social Worker |
| 16760 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Health Affiliates Maine, LLC | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Tri-County Mental Health Services | Mental Health | Past | Accepting new patients |
| Human Service Agency | Past | Accepting new patients | |
| Spurwink Services Incorporated | Past | 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
- 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.
-
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, ME
- NPI 1760507297
-
- Addiction (Substance Use Disorder) Counselor
- Watertown, SD
- NPI 1720074644
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.