Individual provider Active NPI

John Grigas, LCSW

  • Social Worker
  • Lewiston, ME
National Provider Identifier
1699400770
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LC24575 Issued in ME
Practice address
646 Main St
Lewiston, ME 04240-5935
Phone
(207) 376-1711
NPI assigned
Jul 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LC24575 ME Primary

Addresses

Primary practice location

646 Main St
Lewiston, ME 04240-5935

Mailing address

67 Eustis Pkwy
Waterville, ME 04901-5173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250613001748 ME Practitioner - Clinical Social Worker 8628589082 Reassigns benefits to 1 organization
I20260114000522 VT Practitioner - Clinical Social Worker 8628589082 Reassigns benefits to 1 organization

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
Community Health Centers of Burlington IncGroup PAC ID 2062491251, 84 clinicians

Practice addresses (Care Compare)

617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC24575MEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of Burlington Inc CurrentSince Feb 16, 2026 Accepting new patients
Kennebec Valley Mental Health Center CurrentSince Mar 29, 2025 Accepting new patients
Community Health Centers of Burlington Inc CurrentSince Feb 16, 2026 Accepting new patients
Catholic Charities Maine Addiction (Substance Use Disorder) PastSince Jul 1, 2022 Accepting new patients

Locations

646 Main St
Lewiston, ME 04240
Phone (207) 376-1711

67 Eustis Pkwy
Waterville, ME 04901
Phone (207) 660-4549

617 Riverside Ave
Burlington, VT 05401
Phone (802) 264-8158

Organizations & group practices 4

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1699400770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 EUSTIS PKWY",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405935",
            "telephone_number": "207-376-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGAS",
        "first_name": "JOHN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC24575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.