MELANIE HANNON LCSW, LADC
NPI 1063836732
Social Worker - Clinical in Portland, ME

Active since February 14, 2014Opted out of Medicare · through Nov 8, 2026
216 VAUGHAN ST, PORTLAND, ME 04102(207) 662-2221(207) 810-2367 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melanie Hannon Lcsw, Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELANIE HANNON LCSW, LADC (NPI 1063836732) is an individual clinical provider in Portland, Maine, licensed in Maine (LC20073) and active in the NPI registry since February 2014. She has opted out of Medicare through November 8, 2026 and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1063836732
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELANIE HANNONCredential: LCSW, LADC
Location Address216 VAUGHAN STPortland, ME 04102-3204
Mailing Address216 Vaughan StPortland, ME 04102-3204 · (207) 662-2221 · Fax (207) 810-2367
Fax(207) 810-2367
Sole ProprietorNo
Enumeration DateFebruary 14, 2014
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
NPI 1063836732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ME · LC20073
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LC8912 (ME)
216 VAUGHAN ST, Portland, ME 04102

Secondary Practice Location 1

Location 11153 Centre StBoston, MA 02130-3446 · Phone (617) 983-7702

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Melanie Hannon Lcsw, Ladc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 8, 2022 through November 8, 2026.

Opt-Out Effective DateNovember 8, 2022
Opt-Out In Effect ThroughNovember 8, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Nurse Specialist (Psychiatric/Mental Health)
216 VAUGHAN ST
PORTLAND, ME 04102
Social Worker (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Psychiatry & Neurology (Psychiatry)
216 VAUGHAN ST
PORTLAND, ME 04102
Social Worker (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Registered Nurse (Psychiatric/Mental Health)
216 VAUGHAN ST
PORTLAND, ME 04102
Social Worker (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Social Worker
216 VAUGHAN ST
PORTLAND, ME 04102
Psychologist (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melanie Hannon's NPI number?

The NPI number for Melanie Hannon is 1063836732. It was assigned to this individual provider in the NPPES registry on February 14, 2014.

Where is Melanie Hannon located?

Melanie Hannon practices at 216 Vaughan St, Portland, ME 04102. The listed phone number is (207) 662-2221.

What is Melanie Hannon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Melanie Hannon enrolled in Medicare?

No. Melanie Hannon has opted out of Medicare through November 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Melanie Hannon was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.