Individual provider Active NPI

Joanna K. Kelley-Cohen, LCSW

  • Clinical Social Worker
  • Brunswick, ME
National Provider Identifier
1811952310
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC8858 Issued in ME
Practice address
329 Bath Rd
Brunswick, ME 04011-2609
Phone
(207) 294-4657
Fax
(207) 294-4649
NPI assigned
Apr 18, 2006
Last updated
Mar 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC8858 ME Primary

Addresses

Primary practice location

329 Bath Rd
Brunswick, ME 04011-2609

Mailing address

15 Crabtree Dr
Topsham, ME 04086-1873
Phone (207) 294-4657

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
I20041119000225 ME Practitioner - Clinical Social Worker 5193789055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood of Northern New England, IncGroup PAC ID 8729069505, 41 clinicians

Practice addresses (Care Compare)

443 Congress St
FL 2
Portland, ME 04101-3531
Phone (207) 797-8881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Northern New England, Inc CurrentSince Feb 13, 2025 Accepting new patients
Tri-County Mental Health Services PastSince Jul 28, 2005 Accepting new patients
Planned Parenthood of Northern New England PastSince Feb 13, 2025 Accepting new patients
Spurwink Services Incorporated PastSince Mar 17, 2025 Accepting new patients

Locations

275 Main St
Ste 102
Biddeford, ME 04005
Phone (207) 282-6200

886 Main St
Ste 200B
Sanford, ME 04073
Phone (207) 324-9385

4 Bowdoin Mill Is
Ste 101
Topsham, ME 04086
Phone (207) 725-8264

784 Hercules Dr
Ste 110
Colchester, VT 05446
Phone (802) 448-9784

Organizations & group practices 4

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1811952310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CRABTREE DR",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861873",
            "telephone_number": "207-294-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 BATH RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112609",
            "telephone_number": "207-294-4657",
            "fax_number": "207-294-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY-COHEN",
        "first_name": "JOANNA",
        "middle_name": "K.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC8858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.