JUSTINE NICOLE FRASER – Clinical Social Worker, NPI 1144602343

JUSTINE NICOLE FRASER is a healthcare provider. based in Scarborough, Maine. specializing in CLINICAL SOCIAL WORKER. They hold a License No. LC16992 (ME). The NPI Number for JUSTINE NICOLE FRASER is 1144602343

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
JUSTINE NICOLE FRASER
NPI
1144602343
Phone
(207) 219-8011
Address
71 US ROUTE 1
Enumeration Date
24 June 2015
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6038830005
Graduation Year
2015 (11 years ago)
PAC ID
7416445226
Group Practice PAC ID
3274523758
Professional Enrollment ID
I20251023001435
Address ID
ME041011801PO11XXXBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,103 CLINICAL SOCIAL WORKER in ME

Provider Addresses for JUSTINE NICOLE FRASER

  • 71 US ROUTE 1

    SCARBOROUGH, ME 040747173

    Phone: (207) 219-8011

    Type: Location

  • 102 WARDTOWN RD

    FREEPORT, ME 040326880

    Phone: (603) 504-5687

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251023001435IClinical Social WorkerMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04074)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274523758View full group profile
NameSpecialtyState
Clinical Social WorkerMA
Clinical PsychologistNH
Clinical PsychologistMA
-NH
Nurse PractitionerME
-NH
Clinical Social WorkerME
Clinical Social WorkerNH
Clinical Social WorkerME
P S Y C H I A T R YNH

Reviews

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Frequently asked questions

How is JUSTINE NICOLE FRASER identified in CMS data?
CMS-hosted NPPES data lists JUSTINE NICOLE FRASER with NPI 1144602343.
Is JUSTINE NICOLE FRASER still practicing?
JUSTINE NICOLE FRASER is currently listed as active in the public NPI registry.
What healthcare role does JUSTINE NICOLE FRASER hold?
Scheduling teams often label JUSTINE NICOLE FRASER under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for JUSTINE NICOLE FRASER?
JUSTINE NICOLE FRASER's geographic hint is Scarborough, Maine in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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