Active NPI
Ellen Nelson, LCSW
- Clinical Social Worker
- Biddeford, ME
National Provider Identifier
1891970778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC12996
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LC12996 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Healing and Recovery | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.