Individual provider Active NPI

Jennifer Reeder

  • Clinical Social Worker
  • Bridgton, ME
National Provider Identifier
1548573041
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC12544 Issued in ME
Practice address
32 N High St
Bridgton, ME 04009-1125
Phone
(207) 647-5629
NPI assigned
Jul 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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 LC12544 ME Primary

Addresses

Primary practice location

32 N High St
Bridgton, ME 04009-1125

Mailing address

1155 Lisbon St
Lewiston, ME 04240-5025
Phone (207) 783-9141

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
I20100924001086 ME Practitioner - Clinical Social Worker 6406972629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Strawberry Ave
Lewiston, ME 04240-5941
Phone (207) 777-7740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC12544MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Androscoggin Home Health Services, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Androscoggin Home Health Services, Inc Current Accepting new patients
Androscoggin Home Health Services, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Androscoggin Home Health Services, Inc. Clinical Past Accepting new patients
Tri-County Mental Health Services PastSince Jul 28, 2005 Accepting new patients
Spurwink Services Incorporated PastSince Mar 17, 2025 Accepting new patients

Locations

236 Stetson Rd
Auburn, ME 04210
Phone (207) 333-6300

165 Capitol St
Augusta, ME 04330
Phone (207) 623-1170

498 Essex St
Ste 104
Bangor, ME 04401
Phone (207) 947-0768

175 Portland Rd
Ste 4
Bridgton, ME 04009
Phone 2077777740 ext. 5225

176 Livermore Falls Rd
Farmington, ME 04938
Phone 2077777740 ext. 3208

72 Strawberry Ave
Lewiston, ME 04240
Phone (207) 782-2150

15 Strawberry Ave
Lewiston, ME 04240
Phone (207) 520-9329

39 Main St
Ste 3
Norway, ME 04268
Phone 2077777740 ext. 6202

181 Academy St
Ste 6
Presque Isle, ME 04769
Phone (207) 741-1050

Organizations & group practices 6

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": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1548573041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405025",
            "telephone_number": "207-783-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 N HIGH ST",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091125",
            "telephone_number": "207-647-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC12544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgton, ME

Sources for this page

Verify at the official NPI Registry.