Active NPI
Edith Sherburne, LMSW-CC
- Clinical Social Worker
- South Portland, ME
National Provider Identifier
1649980525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MC21595
- Practice address
- 100 Brickhill Ave Ste 301
South Portland, ME 04106-1999 - Phone
- (207) 841-2141
- Fax
- (207) 874-2164
- NPI assigned
- Dec 1, 2022
- Last updated
- Jun 2, 2026
- 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 | MC21595 | ME | Primary |
Addresses
Primary practice location
100 Brickhill Ave Ste 301
South Portland, ME 04106-1999
Mailing address
180 Park Ave
Portland, ME 04102-2957
Phone (207) 874-2141
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Brickhill Ave
Suite 301
Portland, ME 04106-1999
Phone (207) 874-2141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC21595 | ME | MD | Clinical Social Worker |
Interoperability endpoints
- edith.sherburne.p1@direct.portlandchc.nextgenshare.com
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Portland, ME
- NPI 1609120856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1649980525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 PARK AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022957",
"telephone_number": "207-874-2141",
"fax_number": "207-874-2164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BRICKHILL AVE STE 301",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041061999",
"telephone_number": "207-841-2141",
"fax_number": "207-874-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERBURNE",
"first_name": "EDITH",
"credential": "LMSW-CC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-01",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC21595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.