Jessica Mayol, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC13673 Issued in ME

Practice address

40 Main St Ste 13-210
Biddeford, ME 04005-5181

Phone

(207) 283-0587

NPI assigned

Jul 7, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jessica Gorey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750544086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN ST STE 13-210",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040055181",
            "telephone_number": "207-283-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN ST STE 13-210",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040055181",
            "telephone_number": "207-283-0587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Waverly Oaks Rd",
            "address_2": "Building #3 Suite 305",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024528448",
            "country_code": "US",
            "telephone_number": "781-894-6564",
            "fax_number": "781-893-5938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYOL",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "213591",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC13673",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC13673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GOREY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniela Lee Mason, LCSW
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• Heather L Mateja, NP
• Amy Marissa Maxwell, LPC, LCPC, LCAT
• Bryan Douglas Maxwell, D.O.
• Daniel Mazza III, D.O.
• Benine Mudymba Mbuyamba, LCSW
• Kaitlyn Anna McCarter, ATC, LAT
• Patrick Michael McCarthy, PMHNP
• Sally McCormack, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.