JESSICA D HERSOM LCSW, LADC
NPI 1316442940
Social Worker - Clinical in Belfast, ME
About Jessica D Hersom Lcsw, Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA D HERSOM LCSW, LADC (NPI 1316442940) is an individual clinical provider in Belfast, Maine, licensed in Maine (LC20114) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Waldo County General Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica D Hersom Lcsw, Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Hersom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Belfast, ME 04915
- Reassigned Medicare billing, Maine enrollment
- Also billed through NPI 1265912075 (Maine)
- 211 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Waldo County General Hospital
Critical Access Hospitals · Belfast, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jessica Hersom's NPI number?
The NPI number for Jessica Hersom is 1316442940. It was assigned to this individual provider in the NPPES registry on March 26, 2018. The provider is also known as Jessica Donna Hersom Ladc.
Where is Jessica Hersom located?
Jessica Hersom practices at 119 Northport Ave Fl 1, Belfast, ME 04915. The listed phone number is (207) 505-4567.
What is Jessica Hersom's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jessica Hersom enrolled in Medicare?
Yes. Jessica Hersom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jessica Hersom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Hersom reassigns Medicare benefits to Mainehealth (Belfast, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Hersom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Hersom accept?
Health plans from Anthem Blue Cross and Blue Shield list Jessica Hersom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jessica Hersom affiliated with any hospitals?
According to CMS data, Jessica Hersom is affiliated with Waldo County General Hospital.
When was this NPI record last updated?
The NPPES record for Jessica Hersom was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jessica D Hersom, LCSW, LADC · NPI 1316442940
Clinical provider in Belfast, Maine. Individual provider, active in the CMS NPPES registry since March 26, 2018.
## Identity
- **NPI:** 1316442940 (Entity type: Individual)
- **Enumerated:** March 26, 2018
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LC20114 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 119 NORTHPORT AVE FL 1, Belfast, ME 04915-6069
- **Phone:** (207) 505-4567 · **Fax:** (207) 536-2794
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mainehealth (NPI 1841397932, Belfast, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316442940) · Data from the CMS NPPES public registry.