JACQUELINE ROBERGE LCSW-CC
NPI 1659622579
Social Worker - Clinical in Portland, ME

Active since October 02, 2012
594 CONGRESS ST, PORTLAND, ME 04101(207) 588-1043 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Roberge Lcsw-cc NPPES

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

JACQUELINE ROBERGE LCSW-CC (NPI 1659622579) is an individual clinical provider in Portland, Maine, licensed in Maine (MC15840) and active in the NPI registry since October 2012. She maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1659622579
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE ROBERGECredential: LCSW-CC
Location Address594 CONGRESS STPortland, ME 04101
Mailing Address594 Congress StPortland, ME 04101-3352 · (603) 833-6318
Sole ProprietorNo
Enumeration DateOctober 2, 2012
Last NPPES UpdateAugust 5, 2019
NPI 1659622579 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 · MC15840
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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
594 CONGRESS ST, Portland, ME 04101

Secondary Practice Location 1

Location 11145 Sagamore AvePortsmouth, NH 03801-5503 · Phone (603) 431-6703 · Fax (603) 430-3753

Other Identifiers 1

Medicaid99003227NH

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 Jacqueline Roberge's NPI number?

The NPI number for Jacqueline Roberge is 1659622579. It was assigned to this individual provider in the NPPES registry on October 2, 2012.

Where is Jacqueline Roberge located?

Jacqueline Roberge practices at 594 Congress St, Portland, ME 04101. The listed phone number is (207) 588-1043.

What is Jacqueline Roberge's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacqueline Roberge was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.