Individual provider Active NPI

Marissa Ruane, LCSW

  • Mental Health Counselor
  • Gorham, ME
National Provider Identifier
1780972976
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC13688 Issued in ME
Practice address
7 Railroad Ave Ste 317
Gorham, ME 04038-1546
Phone
(207) 222-0309
NPI assigned
Jul 21, 2011
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0890073005 VT
Addiction (Substance Use Disorder) Counselor 101YA0400X 0890073005 VT
Mental Health Counselor 101YM0800X LC13688 ME Primary

Addresses

Primary practice location

7 Railroad Ave Ste 317
Gorham, ME 04038-1546

Mailing address

7 Railroad Ave Ste 317
Gorham, ME 04038-1546
Phone (207) 222-0309

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
I20250311001122 ME Practitioner - Clinical Social Worker 3779004106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Family Center of MaineGroup PAC ID 1951822386, 11 clinicians

Practice addresses (Care Compare)

7 Railroad Ave
Suite 317
Gorham, ME 04038-1546
Phone (207) 222-0309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0890073005VTMDAddiction (Substance Use Disorder) Counselor
LC13688MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Center of Maine Mental Health CurrentSince Dec 28, 2024 Accepting new patients
Spectrum, Inc. Addiction (Substance Use Disorder) Past Accepting new patients

Locations

261 US Route 1
Ste 302
Falmouth, ME 04105
Phone (207) 808-8085

7 Railroad Ave
Ste 317
Gorham, ME 04038
Phone (207) 222-0309

5 Stewart Dr
Unit 201
Scarborough, ME 04074
Phone (207) 303-0061

28 Christopher Toppi Dr
South Portland, ME 04106
Phone (207) 808-8085

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1780972976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RAILROAD AVE STE 317",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381546",
            "telephone_number": "207-222-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RAILROAD AVE STE 317",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381546",
            "telephone_number": "207-222-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUANE",
        "first_name": "MARISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0890073005",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "0890073005",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC13688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gorham, ME

Sources for this page

Verify at the official NPI Registry.