MS. STEPHANIE ANNE MARIE MODLER LCSW
NPI 1447765227
Social Worker - Clinical in Portland, ME

Active since December 03, 2017PECOS EnrolledAccepts Medicare Assignment
216 VAUGHAN ST, PORTLAND, ME 04102(207) 662-2221(207) 810-2367 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 30, 2026, Dec 3, 2017 (2 updates tracked since 2017).

About Ms. Stephanie Anne Marie Modler Lcsw NPPES

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

MS. STEPHANIE ANNE MARIE MODLER LCSW (NPI 1447765227) is an individual clinical provider in Portland, Maine, licensed in Maine (LC25014) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1447765227
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. STEPHANIE ANNE MARIE MODLERCredential: LCSW
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
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 3, 2017
Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1447765227 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 · LC25014
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.
216 VAUGHAN ST, Portland, ME 04102

Other Names 1

Former Name (1)Ms. Stephanie Anne Marie Holmes

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

Ms. Stephanie Anne Marie Modler 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 ID941781041
PECOS Enrollment IDI20260226002291
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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Modler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
General Acute Care Hospital
216 VAUGHAN ST
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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 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
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

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 Stephanie Modler's NPI number?

The NPI number for Stephanie Modler is 1447765227. It was assigned to this individual provider in the NPPES registry on December 3, 2017. The provider is also known as Ms. Stephanie Anne Marie Holmes.

Where is Stephanie Modler located?

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

What is Stephanie Modler's specialty?

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

Is Stephanie Modler enrolled in Medicare?

Yes. Stephanie Modler 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 Stephanie Modler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Modler reassigns Medicare benefits to Mainehealth (Portland, 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 Stephanie Modler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Modler accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Harvard Pilgrim Health Care, Oscar Health and Oscar Insurance Company and 2 other insurers list Stephanie Modler 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.

When was this NPI record last updated?

The NPPES record for Stephanie Modler was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.