Individual provider Active NPI

Melinda Josiah Geaumont, LCSW

  • Clinical Social Worker
  • Kennebunk, ME
National Provider Identifier
1720169857
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC6840 Issued in ME
Practice address
62 Portland Rd, Post Road Center Suite #6
Melinda Josiah Geaumont, LCSW
Kennebunk, ME 04043
Phone
(207) 651-8703
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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 LC6840 ME Primary

Addresses

Primary practice location

62 Portland Rd, Post Road Center Suite #6
Melinda Josiah Geaumont, LCSW
Kennebunk, ME 04043

Mailing address

6 Auburn Street
Melinda Josiah Geaumont, LCSW
Springvale, ME 04083
Phone (207) 651-8703

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
I20070530000077 ME Practitioner - Clinical Social Worker 2163529025 Practice locations: Kennebunk, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

62 Portland Rd
Post Road Center Suite 6
Kennebunk, ME 04043-6668
Phone (207) 651-8703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC6840MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1720169857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 AUBURN STREET",
            "address_2": "MELINDA JOSIAH GEAUMONT, LCSW",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "04083",
            "telephone_number": "207-651-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 PORTLAND RD, POST ROAD CENTER SUITE #6",
            "address_2": "MELINDA JOSIAH GEAUMONT, LCSW",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "04043",
            "telephone_number": "207-651-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSIAH GEAUMONT",
        "first_name": "MELINDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

Verify at the official NPI Registry.