Jessica Megan Basaldua, LMSW-CC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MC20649 Issued in ME

Practice address

75 Central Ave
Lewiston, ME 04240-6031

Phone

(207) 795-4180

Fax

(207) 753-6419

NPI assigned

Jan 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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 and National Provider Directory roles.

• Central Maine Family Counseling PA

  • Community/Behavioral Health Agency
  • Lewiston, ME
  • NPI 1003001702
  NPD (past)
• Day One

  • Children's Substance Abuse Rehabilitation Facility
  • Windham, ME
  • NPI 1164484093

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1992344329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EAST AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405662",
            "telephone_number": "207-777-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CENTRAL AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406031",
            "telephone_number": "207-795-4180",
            "fax_number": "207-753-6419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 Gamage Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042104573",
            "country_code": "US",
            "telephone_number": "207-577-9884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASALDUA",
        "first_name": "JESSICA",
        "middle_name": "MEGAN",
        "name_prefix": "Ms.",
        "credential": "LMSW-CC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC6933",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC20649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbasaldua1549496@direct-prd.goodhelpconnections.org",
            "affiliation": "N",
            "address_1": "75 Central Ave",
            "city": "Lewiston",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042406031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wendy L Barnies, FNP
• Nicole Marie Barry, FNP
• Jason Barschdorf, PA-C
• Elizabeth Barton
• Carl Eben Barus, M.D.
• Bates College Health Center
• Bates Mill Dermatology, P.L.L.C.
• Brooke L Beal, RD
• Pauline V. Beale, O.D.
• Lexi Jade Beals, CADC, LSW

• Social Worker in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.