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KELLY HARTLEY MACKUSICK LCSW
NPI 1427539378
Social Worker - Clinical in Portland, ME

Active since August 28, 2018PECOS EnrolledAccepts Medicare Assignment
980 FOREST AVE STE 207, PORTLAND, ME 04103(207) 347-6106(207) 347-6113 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 12, 2026, Aug 28, 2018 (2 updates tracked since 2018).

About Kelly Hartley Mackusick Lcsw NPPES

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

KELLY HARTLEY MACKUSICK LCSW (NPI 1427539378) is an individual clinical provider in Portland, Maine, licensed in Maine (LC6482) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1427539378
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY HARTLEY MACKUSICKCredential: LCSW
Location Address980 FOREST AVE STE 207Portland, ME 04103-3336
Mailing Address175 Fore River ParkwayPortland, ME 04102 · (207) 879-3526 · Fax (207) 879-3553
Phone(207) 347-6106
Fax(207) 347-6113
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 28, 2018
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1427539378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ME · LC6482
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.
980 FOREST AVE STE 207, Portland, ME 04103
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Other Names 1

Former Name (1)Kelly Hartley Bickmore Lcsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Hartley Mackusick Lcsw 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.

PECOS PAC ID1355755000
PECOS Enrollment IDI20210121000317
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

LINDA SON LCSW
Social Worker (Clinical)
980 FOREST AVE STE 207
PORTLAND, ME 04103
Cumberland County (207) 210-0891

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 Kelly Mackusick's NPI number?

The NPI number for Kelly Mackusick is 1427539378. It was assigned to this individual provider in the NPPES registry on August 28, 2018. The provider is also known as Kelly Hartley Bickmore Lcsw.

Where is Kelly Mackusick located?

Kelly Mackusick practices at 980 Forest Ave Ste 207, Portland, ME 04103. The listed phone number is (207) 347-6106.

What is Kelly Mackusick's specialty?

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

Is Kelly Mackusick enrolled in Medicare?

Yes. Kelly Mackusick 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.

When was this NPI record last updated?

The NPPES record for Kelly Mackusick was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.