Individual provider Active NPI

Elianna Maniatakos, LCSW

  • Clinical Social Worker
  • Brunswick, ME
National Provider Identifier
1730814690
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC24783 Issued in ME
Practice address
62 Pegasus St Ste 200
Brunswick, ME 04011-5028
Phone
(207) 798-3922
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC24783 ME Primary
Social Worker 104100000X LC24783 ME

Addresses

Primary practice location

62 Pegasus St Ste 200
Brunswick, ME 04011-5028

Mailing address

259 Norridgewock Rd
Fairfield, ME 04937-3179
Phone (207) 692-3586

Other practice location 1

329 Maine St Ste Bh1
Brunswick, ME 04011-3310
Phone (844) 292-0111

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
I20251120000658 ME Practitioner - Clinical Social Worker 8628560497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Riverfront PLZ
Westbrook, ME 04092-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC24783MEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 7, 2025 Accepting new patients
Mainehealth CurrentSince Oct 7, 2025 Accepting new patients
Mainehealth Current Accepting new patients

Locations

329 Maine St
Ste BH1
Brunswick, ME 04011

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Organizations & group practices 3

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": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1730814690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 NORRIDGEWOCK RD",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049373179",
            "telephone_number": "207-692-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 PEGASUS ST STE 200",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040115028",
            "telephone_number": "207-798-3922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 Maine St Ste Bh1",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040113310",
            "country_code": "US",
            "telephone_number": "844-292-0111",
            "fax_number": "207-373-9418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIATAKOS",
        "first_name": "ELIANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC24783",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC24783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.