Jon Mark Hamlin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC1717 Issued in ME

Practice address

20 Old Van Buren Rd
Caribou, ME 04736-3430

Phone

(207) 492-1130

Fax

(207) 492-1139

NPI assigned

Mar 15, 2007

Sex

Male

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 2

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

Specialty

Clinical Social Worker

Education

University of New England, College of Osteo Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• New Day Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Caribou, ME
  • NPI 1477615839
  Medicare reassignment NPD
• New Day Counseling Services, LLC

  • Case Management Agency
  • Caribou, ME
  • NPI 1558455436
  NPD Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362787200000",
    "number": "1922132877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047360092",
            "telephone_number": "207-492-1130",
            "fax_number": "207-492-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OLD VAN BUREN RD",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363430",
            "telephone_number": "207-492-1130",
            "fax_number": "207-492-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLIN",
        "first_name": "JON",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC1717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245790099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "098245",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna M. Hale, MHRT-C
• Aimee Rhnea Ham
• Kevin Ray Hamilton, CRNA
• Willard Dudley Hamilton, O.D.
• Denise Marie Hamlin, LCSW
• Hannaford Bros. Co LLC
• Hannaford Bros. Co., LLC
• Danielle Hanson, OQMHP-C
• Daniel Harrigan, M.D.
• Michael David Harris, MHRT-C

• Clinical Social Worker in Caribou, ME
• Providers in Caribou, 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 Mar 9, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.