Individual provider Active NPI

Omm Kathryn Stilwell, LMSW-CC

  • Clinical Social Worker
  • Belfast, ME
National Provider Identifier
1649539669
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MC13220 Issued in ME
Practice address
36 Sweetser Dr
Belfast, ME 04915-7592
Phone
(207) 930-2711
NPI assigned
May 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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 MC13220 ME Primary

Addresses

Primary practice location

36 Sweetser Dr
Belfast, ME 04915-7592

Mailing address

36 Sweetser Dr
Belfast, ME 04915-7592
Phone (207) 930-2711

Other names 1

  • Omm Kathryn Lucarelli Former name

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
I20180223001891 ME Practitioner - Clinical Social Worker 7416218987 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Merit-based Incentive Payment System (MIPS)

Final score
90.63 of 100Reported as group
Quality
77.69
Promoting interoperability
95
Improvement activities
40
Cost
78.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC13220MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Maine Medical Center CurrentSince Feb 1, 2026 Accepting new patients
Sebasticook Valley Health CurrentSince Dec 29, 2025 Accepting new patients
Sebasticook Valley Health CurrentSince Dec 29, 2025 Accepting new patients
Acadia Hospital Corp CurrentSince Jan 28, 2018 Accepting new patients
Eastern Maine Medical Center CurrentSince Feb 1, 2026 Accepting new patients
Sweetser Past Accepting new patients

Locations

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

489 State St
Bangor, ME 04401
Phone (207) 973-8837

931 Union St
Fl 3
Bangor, ME 04401

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000

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": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1649539669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SWEETSER DR",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049157592",
            "telephone_number": "207-930-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SWEETSER DR",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049157592",
            "telephone_number": "207-930-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILWELL",
        "first_name": "OMM",
        "middle_name": "KATHRYN",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC13220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OMM",
            "last_name": "LUCARELLI",
            "middle_name": "KATHRYN",
            "credential": "LMSW-CC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belfast, ME

Sources for this page

Verify at the official NPI Registry.