Audrey J Yeaton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC11472 Issued in ME

Practice address

433 US Route 1
Suite 215
York, ME 03909-1659

Phone

(207) 337-5507

Fax

(207) 351-1975

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Androscoggin Home Health Services, Inc

  • Internal Medicine Physician
  • Lewiston, ME
  • NPI 1013957687
  Medicare reassignment
• Oliver Parkes Therapy, LLC

  • Professional Counselor
  • York, ME
  • NPI 1063236669
  NPD
• Maine Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Biddeford, ME
  • NPI 1891733309
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1891703674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 US ROUTE 1",
            "address_2": "SUITE 215",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091659",
            "telephone_number": "207-337-5507",
            "fax_number": "207-351-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 US ROUTE 1",
            "address_2": "SUITE 215",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091659",
            "telephone_number": "207-337-5507",
            "fax_number": "207-351-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATON",
        "first_name": "AUDREY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266440099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wiggle Worms Pediatric Physical Therapy, LLC
• Donna Wiley
• Katrina Wood, PT
• Sarah Woodward, SARAH WOODWARD
• Colleen K. Yavarow, D.O.
• York Ambulance Association, Inc.
• York Center for Child Development, LLC
• York Family Dental
• York Family Eyecare
• York Family Practice

• Clinical Social Worker in York, ME
• Providers in York, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.