Individual provider Active NPI

Tammy L Kelley, LCSW, LADC

  • Clinical Social Worker
  • Biddeford, ME
National Provider Identifier
1891982302
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC16689 Issued in ME
Practice address
235 Main St
Biddeford, ME 04005-2411
Phone
(207) 283-7660
Fax
(207) 283-7664
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC4770 ME
Clinical Social Worker 1041C0700X LC16689 ME Primary

Addresses

Primary practice location

235 Main St
Biddeford, ME 04005-2411

Mailing address

235 Main St
Biddeford, ME 04005-2411
Phone (207) 283-7660

Other practice location 1

235 Main St Fl 2
Biddeford, ME 04005-2411
Phone (844) 292-0111

Other practice location 2

7 Prospect St
Caribou, ME 04736-2456
Phone (207) 492-1000

Other practice location 3

162 Main St
Presque Isle, ME 04769-2817
Phone (207) 768-3304

Other identifiers 1

IdentifierTypeStateIssuer
103850000OtherMEMAINECARE

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
I20180301000485 ME Practitioner - Clinical Social Worker 2668733940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

235 Main St
Biddeford, ME 04005-2411
Phone (207) 283-7660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC4770MEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aroostook Mental Health Services, Inc. Clinical PastSince Jul 10, 2016 Accepting new patients

Organizations & group practices 2

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": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1891982302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MAIN ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052411",
            "telephone_number": "207-283-7660",
            "fax_number": "207-283-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAIN ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052411",
            "telephone_number": "207-283-7660",
            "fax_number": "207-283-7664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Main St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040052411",
            "country_code": "US",
            "telephone_number": "844-292-0111",
            "fax_number": "207-661-8559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Prospect St",
            "address_purpose": "LOCATION",
            "city": "Caribou",
            "state": "ME",
            "postal_code": "047362456",
            "country_code": "US",
            "telephone_number": "207-492-1000",
            "fax_number": "207-492-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "162 Main St",
            "address_purpose": "LOCATION",
            "city": "Presque Isle",
            "state": "ME",
            "postal_code": "047692817",
            "country_code": "US",
            "telephone_number": "207-768-3304",
            "fax_number": "207-764-6340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "TAMMY",
        "middle_name": "L",
        "credential": "LCSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC4770",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC16689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE",
            "identifier": "103850000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.