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

Miss. Angie M. Shahmoradi, LCSW

Individual provider Clinical Social Worker · NPI 1164567905

Miss. Angie M. Shahmoradi, LCSW is a Clinical Social Worker in Fairfield, Maine. Qualified in 2000, 26 years ago. Practices as a sole proprietor. Licensed in Maine.

Years since qualifying
26
Licensed in
ME
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 358
Fairfield, ME 04937-0358
Phone: (207) 453-4708
Fax: (207) 453-7064
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 LC17434 (ME)

Record details

NPI number1164567905
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 20, 2007
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated

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