Active NPIIndividual providerSole proprietor

Amelia Forman-Stiles, LCSW

Social Worker, Clinical in Blue Hill, Maine

NPI Number1053886564
Practice location
163 Jay Carter RD, Blue Hill, ME 04614-6236
Fax
—
Last updated
November 5, 2025

Amelia Forman-Stiles is a Social Worker, Clinical based in Blue Hill, ME. Amelia Forman-Stiles practices in Blue Hill, ME and has the professional credentials of LCSW. The NPI Number for Amelia Forman-Stiles is 1053886564 and holds a License No. LC25459 (ME). The current practice location address for Amelia Forman-Stiles is 163 Jay Carter RD, Blue Hill, ME 04614-6236 and can be reached out via phone at 910-580-3383.

Provider Profile Details

NPI Number
1053886564
Provider Name
Amelia Forman-Stiles
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
163 Jay Carter RD, Blue Hill, ME 04614-6236
Phone Number
910-580-3383
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 11, 2018
Last Update Date
November 5, 2025
Certification Date
November 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
163 Jay Carter RD
Blue Hill, ME 04614-6236
State
Maine
Zip
04614-6236
Phone Number
910-580-3383
Blue Hill, ME 04614Get directions →

Provider Business Mailing Address Details

Address
163 Jay Carter RD
Blue Hill, ME 04614-6236
City
Blue Hill
State
ME
Zip
04614-6236
Phone Number
910-580-3383

License Information

License Number
LC25459
License State
ME
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amelia Forman-Stiles, LCSW?

The NPI number of Amelia Forman-Stiles, LCSW is 1053886564. It was assigned on October 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Amelia Forman-Stiles, LCSW?

Amelia Forman-Stiles, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC25459.

Where does Amelia Forman-Stiles, LCSW practice?

The practice location is 163 Jay Carter RD, Blue Hill, ME 04614-6236. The office can be reached at 910-580-3383 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053886564 directly on the NPPES registry website.

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