Organization Active NPI

Chaos and Compassion LLC

  • Clinical Social Worker
  • Portland, ME
National Provider Identifier
1689538894
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHAOS AND COMPASSION LLC
Practice address
844 Stevens Ave
Portland, ME 04103-2676
Phone
(207) 505-0227
NPI assigned
Dec 11, 2025
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Timothy Fuller, LCSWNPI 1114567807
Title
Sole Member
Phone
(207) 505-0227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

844 Stevens Ave
Portland, ME 04103-2676

Mailing address

844 Stevens Ave
Portland, ME 04103-2676
Phone (207) 505-0227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260115002113 ME Part B Supplier - Clinic/Group Practice 5991281354 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, ME

National Provider Directory

National Provider Directory

Locations

844 Stevens Ave
Portland, ME 04103
Phone (207) 505-0227

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1689538894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 STEVENS AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032676",
            "telephone_number": "207-505-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 STEVENS AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032676",
            "telephone_number": "207-505-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAOS AND COMPASSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "207-505-0227",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.