Tammy Trask, LADC/LCSW – Clinical Social Worker

Key facts

NPI: 1578862074
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: LC15021 (ME)
Practice address: 6 Stoddard LN
Hallowell, ME 04347-1429
Phone: (207) 624-1959
NPI assigned: Mar 23, 2011
Sex: Female
Sole proprietor: Yes

Organizations & group practices 5

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.

Mainegeneral Medical Center General Acute Care Hospital · Augusta, ME · NPI 1669423380

Medicare reassignment NPD ME
Sweetser Mental Health Clinic/Center (Including Community Mental Health Center) · Saco, ME · NPI 1538122445

Medicare reassignment NPD ME
York Hospital General Acute Care Hospital · York, ME · NPI 1376528398

Medicare reassignment NPD ME
Mental Health Specialty Group PA Mental Health Counselor · Durham, NC · NPI 1801472634

Medicare reassignment NPD ME
Mainegeneral Medical Center Community/Retail Pharmacy · Waterville, ME · NPI 1477344976

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in ME
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20141010001520	ME	Practitioner - Clinical Social Worker	8820218019	Reassigns benefits to 4 organizations Practice locations: Randolph, ME

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
LC4810	ME	MD	Addiction (Substance Use Disorder) Counselor

Practice roles

Organization	Status	New patients
Sweetser	Current since Nov 5, 2020	Accepting new patients
Mainegeneral Medical Center	Current since Oct 9, 2015	Accepting new patients
York Hospital	Current since Feb 13, 2018	Accepting new patients
Mainegeneral Medical Center	Current since Oct 9, 2015	Accepting new patients
Mental Health Specialty Group PA	Current since Jan 28, 2026	Accepting new patients

Locations

9 Green St
Augusta, ME 04330
Phone (207) 621-3700

442 Civic Center Dr
Augusta, ME 04330
Phone (207) 622-6319

329 Bath Rd
Brunswick, ME 04011
Phone (207) 373-3012

50 Moody St
Saco, ME 04072
Phone (207) 284-5981

10 Water St
Ste 305
Waterville, ME 04901
Phone (207) 872-5610

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

16 Hospital Dr
York, ME 03909
Phone (207) 351-3455

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor	101YA0400X	LC4810	ME
Clinical Social Worker	1041C0700X	LC15021	ME	Yes

Addresses

Primary practice location

6 Stoddard LN
Hallowell, ME 04347-1429

Mailing address

PO Box 234
Gardiner, ME 04345-0234
Phone (207) 624-1959

Other providers in Hallowell, ME

All providers in Hallowell, ME · Clinical Social Worker in Maine

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.