Active NPIIndividual providerSole proprietor

Jessica Braddock, LCSW

Social Worker, Clinical in Stockton Springs, Maine

NPI Number1477919561
Practice location
330 Cape Jellison RD, Stockton Springs, ME 04981-4726
Fax
—
Last updated
August 6, 2025

Jessica Braddock is a Social Worker, Clinical based in Stockton Springs, ME. Jessica Braddock practices in Stockton Springs, ME and has the professional credentials of LCSW. The NPI Number for Jessica Braddock is 1477919561 and holds a License No. MC15861 (ME). The current practice location address for Jessica Braddock is 330 Cape Jellison RD, Stockton Springs, ME 04981-4726 and can be reached out via phone at 207-322-9987.

Provider Profile Details

NPI Number
1477919561
Provider Name
Jessica Braddock
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
330 Cape Jellison RD, Stockton Springs, ME 04981-4726
Phone Number
207-322-9987
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 6, 2016
Last Update Date
August 6, 2025
Certification Date
August 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
330 Cape Jellison RD
Stockton Springs, ME 04981-4726
State
Maine
Zip
04981-4726
Phone Number
207-322-9987
Stockton Springs, ME 04981Get directions →

Provider Business Mailing Address Details

Address
330 Cape Jellison RD
Stockton Springs, ME 04981-4726
City
Stockton Springs
State
ME
Zip
04981-4726
Phone Number
207-322-9987

License Information

License Number (1)
MC15861
License State (1)
ME
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
LC17146
License State (2)
ME
Taxonomy (2)
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 Jessica Braddock, LCSW?

The NPI number of Jessica Braddock, LCSW is 1477919561. It was assigned on January 6, 2016 and is currently active in the NPPES registry.

What is the specialty of Jessica Braddock, LCSW?

Jessica Braddock, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number MC15861.

Where does Jessica Braddock, LCSW practice?

The practice location is 330 Cape Jellison RD, Stockton Springs, ME 04981-4726. The office can be reached at 207-322-9987 (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 1477919561 directly on the NPPES registry website.

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