Individual provider Active NPI

Leslie G Lufkin, LCSW

  • Clinical Social Worker
  • Bethel, ME
National Provider Identifier
1598974156
Registry record updated Jul 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC5493 Issued in ME
Practice address
20 Flaherty LN
Bethel, ME 04217-7020
Phone
(207) 357-2520
NPI assigned
May 21, 2007
Last updated
Jul 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC1717 ME
Clinical Social Worker 1041C0700X LC5493 ME Primary

Addresses

Primary practice location

20 Flaherty LN
Bethel, ME 04217-7020

Mailing address

20 Flaherty LN
Bethel, ME 04217-7020
Phone (207) 357-2520

Other identifiers 1

IdentifierTypeStateIssuer
033968OtherMEBLUE CROSS AND BLUE SHIEL

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
I20031105000126 ME Practitioner - Clinical Social Worker 5991617110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthreach Community Health CentersGroup PAC ID 5496726523, shared by 12 NPIs, 87 clinicians

Practice addresses (Care Compare)

32 Railroad St
Bethel, ME 04217-3819
Phone (207) 824-2193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC1717MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthreach Community Health Centers CurrentSince Feb 4, 2013 Accepting new patients
Healthreach Community Health Centers CurrentSince Feb 4, 2013 Accepting new patients
Healthreach Community Health Centers CurrentSince Mar 7, 2025 Accepting new patients

Locations

4 Clement Way
Belgrade, ME 04917
Phone (207) 660-9924

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469318400000",
    "number": "1598974156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FLAHERTY LN",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "042177020",
            "telephone_number": "207-357-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FLAHERTY LN",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "042177020",
            "telephone_number": "207-357-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUFKIN",
        "first_name": "LESLIE",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2016-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC1717",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "033968",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, ME

Sources for this page

Verify at the official NPI Registry.