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

Jessica D Hersom, LCSW, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1316442940

Jessica D Hersom, LCSW, LADC is a Clinical Social Worker in Belfast, Maine. Qualified in 2015, 11 years ago. Practices with Mainehealth, a 2,615-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
11
Licensed in
ME
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

119 Northport Ave Fl 1
Belfast, ME 04915-6069
Phone: (207) 505-4567
Fax: (207) 536-2794
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC20114 (ME)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LC6782 (ME)

Record details

NPI number1316442940
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LADC
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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