Active NPIIndividual provider

Jeremy M Donnelly

Social Worker, Clinical in Ellsworth, Maine

NPI Number1518711787
Practice location
70 Kingsland Xing, Ellsworth, ME 04605-2570
Fax
—
Last updated
September 21, 2026

Jeremy Michael Donnelly is a Social Worker, Clinical based in Ellsworth, ME. Jeremy Michael Donnelly practices in Ellsworth, ME. The NPI Number for Jeremy Michael Donnelly is 1518711787 and holds a License No. LC25966 (ME). The current practice location address for Jeremy Michael Donnelly is 70 Kingsland Xing, Ellsworth, ME 04605-2570 and can be reached out via phone at 207-667-6890.

Provider Profile Details

NPI Number
1518711787
Provider Name
Jeremy Michael Donnelly
Provider Entity Type
Individual
Gender
Male
Address
70 Kingsland Xing, Ellsworth, ME 04605-2570
Phone Number
207-667-6890
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 15, 2024
Last Update Date
September 21, 2026
Certification Date
September 21, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Kingsland Xing
Ellsworth, ME 04605-2570
State
Maine
Zip
04605-2570
Phone Number
207-667-6890
Ellsworth, ME 04605Get directions →

Provider Business Mailing Address Details

Address
180 Academy St Ste 3
Presque Isle, ME 04769-3183
City
Presque Isle
State
ME
Zip
04769-3183
Phone Number
207-554-2351

License Information

License Number
LC25966
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 Jeremy M Donnelly?

The NPI number of Jeremy M Donnelly is 1518711787. It was assigned on April 15, 2024 and is currently active in the NPPES registry.

What is the specialty of Jeremy M Donnelly?

Jeremy M Donnelly is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC25966.

Where does Jeremy M Donnelly practice?

The practice location is 70 Kingsland Xing, Ellsworth, ME 04605-2570. The office can be reached at 207-667-6890 (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 1518711787 directly on the NPPES registry website.

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