Individual provider Active NPI

Ellen Nelson, LCSW

  • Clinical Social Worker
  • Biddeford, ME
National Provider Identifier
1891970778
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC12996 Issued in ME
Practice address
11 Adams St Ste 3
Biddeford, ME 04005-2562
Phone
(207) 632-5705
NPI assigned
Jan 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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 LC12996 ME Primary

Addresses

Primary practice location

11 Adams St Ste 3
Biddeford, ME 04005-2562

Mailing address

4 Beacon Ave
Kennebunkport, ME 04046-5118
Phone (207) 632-5705

Other practice location 1

2 Storer St Ste 201B
Kennebunk, ME 04043-6882
Phone (207) 632-5705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2025 through Jan 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC12996MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Healing and Recovery Clinical CurrentSince Jun 3, 2025 Accepting new patients

Locations

11 Adams St
Ste 3
Biddeford, ME 04005

Organizations & group practices 1

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": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1891970778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BEACON AVE",
            "city": "KENNEBUNKPORT",
            "state": "ME",
            "postal_code": "040465118",
            "telephone_number": "207-632-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ADAMS ST STE 3",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052562",
            "telephone_number": "207-632-5705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Storer St Ste 201B",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436882",
            "country_code": "US",
            "telephone_number": "207-632-5705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC12996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.