Active NPIIndividual provider

Jenifer Bordelon, LCSW, LADC, PMH-C

Social Worker, Clinical in Portland, Maine

NPI Number1467985812
Practice location
22 Bramhall St, Portland, ME 04102-3134
Fax
207-810-2407
Last updated
February 24, 2026

Jenifer Bordelon is a Social Worker, Clinical based in Portland, ME. Jenifer Bordelon practices in Portland, ME and has the professional credentials of LCSW, LADC, PMH-C. The NPI Number for Jenifer Bordelon is 1467985812 and holds a License No. LC9325 (ME). The current practice location address for Jenifer Bordelon is 22 Bramhall St, Portland, ME 04102-3134 and can be reached out via phone at 207-706-3280 and via fax at 207-810-2407.

Provider Profile Details

NPI Number
1467985812
Provider Name
Jenifer Bordelon
Credential
LCSW, LADC, PMH-C
Provider Entity Type
Individual
Gender
Female
Address
22 Bramhall St, Portland, ME 04102-3134
Phone Number
207-706-3280
Fax Number
207-810-2407
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 4, 2017
Last Update Date
February 24, 2026
Certification Date
February 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Bramhall St
Portland, ME 04102-3134
State
Maine
Zip
04102-3134
Phone Number
207-706-3280
Fax Number
207-810-2407
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
22 Bramhall St
Portland, ME 04102-3134
City
Portland
State
ME
Zip
04102-3134
Phone Number
207-706-3280
Fax Number
207-810-2407

License Information

License Number (1)
LC9325
License State (1)
ME
License Number (2)
14250
License State (2)
LA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
1451
License State (3)
LA
License Number (4)
LC25558
License State (4)
ME
Taxonomy (4)
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 Jenifer Bordelon, LCSW, LADC, PMH-C?

The NPI number of Jenifer Bordelon, LCSW, LADC, PMH-C is 1467985812. It was assigned on April 4, 2017 and is currently active in the NPPES registry.

What is the specialty of Jenifer Bordelon, LCSW, LADC, PMH-C?

Jenifer Bordelon, LCSW, LADC, PMH-C is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC9325.

Where does Jenifer Bordelon, LCSW, LADC, PMH-C practice?

The practice location is 22 Bramhall St, Portland, ME 04102-3134. The office can be reached at 207-706-3280 (phone) or 207-810-2407 (fax).

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 1467985812 directly on the NPPES registry website.

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