Ashlee Brooks
Individual provider Active NPI Social Worker · Portland, ME
NPI 1780131946 · NPPES record last updated Sep 6, 2016
Key facts
- NPI
- 1780131946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- MC16185 (ME)
- Practice address
- 901 Washington Ave
Suite 100
Portland, ME 04103-2737 - Phone
- (207) 871-1211
- Fax
- (207) 871-1232
- NPI assigned
- Sep 6, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Concepts Incorporated
Practice addresses (Care Compare)
150 Congress St
Rumford, ME 04276-2035
Phone (207) 364-3549
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230510001367 | ME | Practitioner - Clinical Social Worker | 9234595687 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC16185 | ME | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Concepts, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MC16185 | ME | Yes |
Addresses
Primary practice location
901 Washington Ave
Suite 100
Portland, ME 04103-2737
Mailing address
901 Washington Ave
Suite 100
Portland, ME 04103-2737
Phone (207) 871-1211
NPI Registry JSON
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1780131946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 WASHINGTON AVE",
"address_2": "SUITE 100",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032737",
"telephone_number": "207-871-1211",
"fax_number": "207-871-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 WASHINGTON AVE",
"address_2": "SUITE 100",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032737",
"telephone_number": "207-871-1211",
"fax_number": "207-871-1232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "ASHLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "MC16185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.