Individual provider Active NPI

Anna Agell, LCSW

  • Clinical Social Worker
  • Topsham, ME
National Provider Identifier
1841373586
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC5765 Issued in ME
Practice address
124 Main St
Topsham, ME 04086-1221
Phone
(207) 522-1831
NPI assigned
Oct 24, 2006
Last updated
Sep 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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 LC5765 ME Primary

Addresses

Primary practice location

124 Main St
Topsham, ME 04086-1221

Mailing address

2 Pollard Ave
Brunswick, ME 04011-3115
Phone (207) 522-1831

Other identifiers 1

IdentifierTypeStateIssuer
431907999MedicaidME

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
I20070419000482 ME Practitioner - Clinical Social Worker 7214032283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9 Everett St
Brunswick, ME 04011-2403
Phone (207) 522-1831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC5765MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Nov 1, 2020 Accepting new patients
Anna Agell LCSW LLC CurrentSince Jun 12, 2021 Accepting new patients
Mainehealth CurrentSince Nov 1, 2020 Accepting new patients
Mainehealth Current Accepting new patients

Locations

108 Centre St
#200
Bath, ME 04530
Phone (207) 386-1800

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

329 Bath Rd
Brunswick, ME 04011
Phone (207) 373-3012

9 Everett St
Brunswick, ME 04011
Phone (207) 729-7710

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

1 Wellness Way
Ste A
Topsham, ME 04086
Phone (207) 386-1808

124 Main St
Topsham, ME 04086
Phone (207) 406-3448

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1841373586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 POLLARD AVE",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113115",
            "telephone_number": "207-522-1831",
            "fax_number": "207-373-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MAIN ST",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861221",
            "telephone_number": "207-522-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGELL",
        "first_name": "ANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431907999",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topsham, ME

Sources for this page

Verify at the official NPI Registry.