Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Anthony Roche Ouellette, LCSW

Individual provider Clinical Social Worker · NPI 1770137358

Jennifer Anthony Roche Ouellette, LCSW is a Clinical Social Worker in Brunswick, Maine. Qualified in 2019, 7 years ago. Practices with Health Affiliates Maine, LLC, a 174-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
7
Licensed in
ME
In the registry since
2019
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

135 Maine St Ste A423
Brunswick, ME 04011-2098
Phone: (207) 945-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC20908 (ME)
Social Worker Taxonomy 104100000X · Licence MC18087 (ME)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1770137358
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 31, 2019
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Health Affiliates Maine, Llc — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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