Individual provider Active NPI

Melissa Jane Anderson, LCSW

  • Clinical Social Worker
  • Raymond, ME
National Provider Identifier
1992938468
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC 8213 Issued in ME
Practice address
152 Raymond Hill Rd
Raymond, ME 04071-6142
Phone
(207) 838-2077
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC 8213 ME Primary

Addresses

Primary practice location

152 Raymond Hill Rd
Raymond, ME 04071-6142

Mailing address

152 Raymond Hill Rd
Raymond, ME 04071-6142
Phone (207) 838-2077

Other identifiers 1

IdentifierTypeStateIssuer
434467200OtherMEMAINECARE SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC 8213MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1992938468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 RAYMOND HILL RD",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716142",
            "telephone_number": "207-838-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 RAYMOND HILL RD",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716142",
            "telephone_number": "207-838-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MELISSA",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC 8213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE SERVICES",
            "identifier": "434467200",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.