Nicole Stasil, LCSW, LADC, CCS

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

28 Pearl St Ste 115
Biddeford, ME 04005-4239

Phone

(908) 635-7815

NPI assigned

Jul 8, 2019

Last updated

Feb 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Family Center of Maine

  • Clinical Social Worker
  • Gorham, ME
  • NPI 1700556743
  Medicare reassignment NPD
• Clinton County

  dba Clinton County Health Department

  • Clinic/Center
  • Plattsburgh, NY
  • NPI 1114979945
  NPD (past)
• Clinton County

  dba Mental Health & Addiction Services

  • Mental Health Counselor
  • Plattsburgh, NY
  • NPI 1164465902

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1730741034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 PEARL ST STE 115",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040054239",
            "telephone_number": "908-635-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 PEARL ST STE 115",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040054239",
            "telephone_number": "908-635-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASIL",
        "first_name": "NICOLE",
        "credential": "LCSW, LADC, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Andre Health Care Facility
• Jacqueline Stagg, BC-HIS, CDP
• Shannon Stanhope, LMSW-CC
• Sundaram David Stanly, LCSW
• Sarah Elizabeth Starkweather, AGACNP
• Maria Buzzell Steed
• Jessica Stein, LCPC-C
• Morgan Rodway Stephansky, PA-C
• Kendra Marie Stephens, DPT, PT
• Jessica H Stevens, M.D.

• Social Worker in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.