TIA LYNN SPRAGUE (LCSW) – Social Worker, NPI 1861153413

TIA LYNN SPRAGUE (LCSW) is a healthcare provider. based in Bryant pond, Maine. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. LC23948 (ME). The NPI Number for TIA LYNN SPRAGUE (LCSW) is 1861153413

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
TIA LYNN SPRAGUE (LCSW)
NPI
1861153413
Phone
(207) 330-5046
Address
41 HEIKKENEN RD
Enumeration Date
5 January 2022
Last Update Date
20 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6038830005
Graduation Year
2021 (5 years ago)
PAC ID
8628414208
Group Practice PAC ID
3274523758
Professional Enrollment ID
I20250226000401
Address ID
ME040111900BR16XXXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,103 CLINICAL SOCIAL WORKER in ME

Provider Addresses for TIA LYNN SPRAGUE (LCSW)

  • 41 HEIKKENEN RD

    BRYANT POND, ME 042196726

    Phone: (207) 330-5046

    Type: Mailing

  • 150 CONGRESS ST

    RUMFORD, ME 042762035

    Phone: (206) 364-3549

    Type: Location

  • 150 Congress St

    Rumford, ME 042762035

    Phone: (206) 364-3549

    Type: Location

  • 8 ROAD LESS TRAVELED RD

    BRYANT POND, ME 042196729

    Phone: (207) 330-5046

    Type: Mailing

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: 2025-02-26

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
I20250226000401IClinical 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 04219)

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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 WorkerME
Clinical Social WorkerNH
Clinical Social WorkerME

Reviews

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Frequently asked questions

Is TIA LYNN SPRAGUE (LCSW) listed with a National Provider Identifier?
Yes — TIA LYNN SPRAGUE (LCSW) has NPI 1861153413 on file in the registry.
Active or inactive — what applies to TIA LYNN SPRAGUE (LCSW)?
You should see TIA LYNN SPRAGUE (LCSW) as active in CMS-hosted NPPES data.
What kind of doctor is TIA LYNN SPRAGUE (LCSW)?
TIA LYNN SPRAGUE (LCSW) is associated with Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is TIA LYNN SPRAGUE (LCSW) located near Bryant Pond?
TIA LYNN SPRAGUE (LCSW) currently maps to Bryant Pond, Maine in this extract.
Does TIA LYNN SPRAGUE (LCSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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