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MS. LYDIA SANDERSON PILLSBURY LCSW
NPI 1649729401
Social Worker - Clinical in Portland, ME

Active since September 22, 2016PECOS Enrolled
370 STEVENS AVE, PORTLAND, ME 04103(207) 450-9981(207) 874-8153 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2021, Jul 3, 2021, Sep 22, 2016 (3 updates tracked since 2016).

About Ms. Lydia Sanderson Pillsbury Lcsw NPPES

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

MS. LYDIA SANDERSON PILLSBURY LCSW (NPI 1649729401) is an individual clinical provider in Portland, Maine, licensed in Maine (LC16243) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649729401
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LYDIA SANDERSON PILLSBURYCredential: LCSW
Location Address370 STEVENS AVEPortland, ME 04103
Mailing Address286 Stevens Ave.Portland, ME 04103 · (207) 450-9981
Phone(207) 450-9981
Fax(207) 874-8153
Sole ProprietorYes
Enumeration DateSeptember 22, 2016
Last NPPES UpdateJuly 12, 20213 updates tracked since enumeration
NPPES CertifiedJuly 12, 2021
✔ NPI 1649729401 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 · LC16243
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.
370 STEVENS AVE, Portland, ME 04103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lydia Sanderson Pillsbury Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Lydia Pillsbury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Affiliates Maine, LLC
28 mi
Community/Behavioral Health
306 RODMAN RD
Auburn, ME 04210
  • Reassigned Medicare billing, Maine enrollment
  • 269 clinicians in this Medicare group
NPI 1932413556 (207) 333-3278

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 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 3

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

MELISSA MCSTAY
Social Worker (Clinical)
370 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 874-8260
PORTLAND COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
370 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 756-8486
KARISSA CHAMBERS
Speech-Language Pathologist
370 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 874-8260

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 Lydia Pillsbury's NPI number?

The NPI number for Lydia Pillsbury is 1649729401. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Where is Lydia Pillsbury located?

Lydia Pillsbury practices at 370 Stevens Ave, Portland, ME 04103. The listed phone number is (207) 450-9981.

What is Lydia Pillsbury's specialty?

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

Is Lydia Pillsbury enrolled in Medicare?

Yes. Lydia Pillsbury is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lydia Pillsbury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Pillsbury reassigns Medicare benefits to Health Affiliates Maine, LLC (Auburn, 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 Lydia Pillsbury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lydia Pillsbury accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Lydia Pillsbury 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 Lydia Pillsbury was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.