Individual provider Active NPI

Megan Deidre Donohue, LCSW

  • Clinical Social Worker
  • Kennebunk, ME
National Provider Identifier
1790249332
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC24573 Issued in ME
Practice address
3 Shape Dr
Kennebunk, ME 04043-6601
Phone
(207) 467-8930
Fax
(207) 985-8459
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 121761 MA
Clinical Social Worker 1041C0700X LC24573 ME Primary

Addresses

Primary practice location

3 Shape Dr
Kennebunk, ME 04043-6601

Mailing address

3 Shape Dr
Kennebunk, ME 04043-6601
Phone (207) 467-8930

Other practice location 1

370 Oak St
Brockton, MA 02301-1303
Phone (508) 584-1234

Other practice location 2

9 Healthcare Dr Ste 208
Biddeford, ME 04005-9450
Phone (207) 282-7531

Other identifiers 1

IdentifierTypeStateIssuer
121761OtherMALICSW

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
I20250718003823 ME Practitioner - Clinical Social Worker 8325554140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121761MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Aug 4, 2025 Accepting new patients
Mainehealth CurrentSince Aug 4, 2025 Accepting new patients
Children'S Hospital Pediatric Associates, Inc Past Accepting new patients
Pediatric Associates Inc. of Brockton PastSince May 1, 2020 Accepting new patients
Mainehealth Past Accepting new patients

Locations

9 Healthcare Dr
Ste 208
Biddeford, ME 04005
Phone (207) 282-7531

3 Shape Dr
Kennebunk, ME 04043
Phone (207) 467-8930

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

Organizations & group practices 6

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": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1790249332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SHAPE DR",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436601",
            "telephone_number": "207-467-8930",
            "fax_number": "207-985-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHAPE DR",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436601",
            "telephone_number": "207-467-8930",
            "fax_number": "207-985-8459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 Oak St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023011303",
            "country_code": "US",
            "telephone_number": "508-584-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Healthcare Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059450",
            "country_code": "US",
            "telephone_number": "207-282-7531",
            "fax_number": "207-294-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "MEGAN",
        "middle_name": "DEIDRE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121761",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC24573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "121761",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

Verify at the official NPI Registry.