Brett Adam Robertshaw

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC19755 Issued in ME

Practice address

26 Main Street
Gray, ME 04039

Phone

(207) 657-7700

NPI assigned

Jul 12, 2021

Last updated

Jul 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christopher Aaron Counseling Center LLC

  • Clinical Social Worker
  • Gray, ME
  • NPI 1952334021
  NPD
• Christopher Aaron Counseling Center

  • Community/Behavioral Health Agency
  • Gray, ME
  • NPI 1669919874
  NPD (past)

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1962074880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 BROADWAY ST. UNIT 12",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-332-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MAIN STREET",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "04039",
            "telephone_number": "207-657-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSHAW",
        "first_name": "BRETT",
        "middle_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC19755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Reed
• Ricardo Addante DDS PLLC (Patriot Dental)
• Judith M Rice, LCSW
• Helen Elaine Richardson, LCSW
• Rite Aid of Maine Inc (Rite Aid Pharmacy 04147)
• Sab Residential Care LLC
• Arsenio Santamaria, LMSW-CC
• Catherine E. Schwenk, LCSW
• Kristin Norma Sengel, M.S.
• Kalin Smith, PHARMD

• Clinical Social Worker in Gray, ME
• Providers in Gray, 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 Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.