Active NPI
Cecile J Velilla, LCSW
- Clinical Social Worker
- Lewiston, ME
National Provider Identifier
1518633692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC23840
- Practice address
- 100 Campus Ave Ste a&B
Lewiston, ME 04240-6040 - Phone
- (207) 755-3434
- Fax
- (207) 755-3474
- NPI assigned
- Aug 19, 2021
- Sex
- Female
- Sole proprietor
- No
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 | LC23840 | ME | Primary |
Addresses
Primary practice location
100 Campus Ave Ste a&B
Lewiston, ME 04240-6040
Mailing address
C/O St Marys Health System - Provider Enrollment
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8950
Other practice location 1
10 Narragansett St
Gorham, ME 04038-1408
Phone (207) 730-2429
Other practice location 2
1250 Turner St
Auburn, ME 04210-6436
Phone (207) 755-3434
Other names 1
- Cecile J Thomas
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | csaunders1579446@direct-prd.goodhelpconnections.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC23840 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Clinical Services, Inc | Past | Accepting new patients | |
| Community Clinical Services, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba CCS Behavioral at CMCC
- Federally Qualified Health Center (FQHC)
- Auburn, ME
- NPI 1295386316
-
- Federally Qualified Health Center (FQHC)
- Lewiston, ME
- NPI 1629851761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1518633692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT",
"address_2": "PO BOX 7291",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042437291",
"telephone_number": "207-777-8950",
"fax_number": "207-777-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CAMPUS AVE STE A&B",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042406040",
"telephone_number": "207-755-3434",
"fax_number": "207-755-3474"
}
],
"practiceLocations": [
{
"address_1": "10 Narragansett St",
"address_purpose": "LOCATION",
"city": "Gorham",
"state": "ME",
"postal_code": "040381408",
"country_code": "US",
"telephone_number": "207-730-2429",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 Turner St",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "ME",
"postal_code": "042106436",
"country_code": "US",
"telephone_number": "207-755-3434",
"fax_number": "207-755-3474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELILLA",
"first_name": "CECILE",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-19",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC23840",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "csaunders1579446@direct-prd.goodhelpconnections.org",
"affiliation": "N",
"address_1": "100 Campus Ave Ste A&b",
"city": "Lewiston",
"state": "ME",
"country_code": "US",
"postal_code": "042406040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CECILE",
"last_name": "THOMAS",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.