Amelia Forman-Stiles · Clinical Social Worker

163 Jay Carter Rd, Blue Hill, ME 04614-6236

Overview

Amelia Forman-Stiles is a Clinical Social Worker practicing in Blue Hill, Maine. The National Provider Identifier (NPI) is #1053886564, which was assigned on October 11, 2018, and the registration record was last updated on November 5, 2025. The practitioner's main practice location is at 163 Jay Carter Rd, Blue Hill, ME 04614-6236; the contact telephone number is 9105803383. The primary taxonomy of Amelia Forman-Stiles is Clinical Social Worker (1041C0700X), with specialization in Clinical. Amelia Forman-Stiles is licensed to practice in the state of Maine (#LC25459).

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Provider Information

NPI 1053886564
Entity Type Individual
Provider Name AMELIA FORMAN-STILES
Gender Female
Credential LCSW
Practice Address 163 Jay Carter Rd
Blue Hill
ME 04614-6236
Practice Telephone 9105803383
Mailing Address 163 Jay Carter Rd
Blue Hill
ME 04614-6236
Mailing Telephone 9105803383
Certification Date 2025-11-05
Enumeration Date 2018-10-11
Last Update Date 2025-11-05
Is Sole Proprietor Y

Doctor and Clinician Information

PAC ID 7719424720
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name AMELIA FORMAN-STILES
Primary Specialty CLINICAL SOCIAL WORKER
Organization Legal Name REGIONAL MEDICAL CENTER AT LUBEC INC
Address 43 S Lubec Rd
Lubec
ME 04652-3620

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y1041C0700XSocial WorkerClinicalLC25459ME

Taxonomy Information

Primary Taxonomy

Code 1041C0700X
Taxonomy Clinical Social Worker
Classification Social Worker
Specialization Clinical
Grouping Behavioral Health & Social Service Providers
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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Location Information

Street Address 163 JAY CARTER RD
City BLUE HILL
State ME
Zip Code 04614-6236
Country US

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Provider NameAddressTaxonomyEnumeration Date
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Pborchard, LLC 200 Woods Point Road, Blue Hill, ME 04614Clinical Social Worker2011-05-03
Blue Hill Family & Cosmetic Dentistry Pa 292 South Street, Blue Hill, ME 04614Dentist2007-09-11
Laura Hamill Acupuncture 49 Main St. Unit 4, Blue Hill, ME 04614Acupuncturist2026-03-09
Downeast Community Partners 118 Ellsworth Road, Blue Hill, ME 04614Community/Behavioral Health Agency2009-05-05
Jane Walher Garfield 37 Parker Point Road, Blue Hill, Blue Hill, ME 04614Specialist2006-07-08
Walter Ross Greenlaw Jr. · W. Ross Greenlaw 120 South Street, Blue Hill Peninsula Dental, Blue Hill, ME 04614General Practice Dentistry2007-05-01
Howard Morgan Evans 9 Spruce Needle Lane, Blue Hill, ME 04614Acupuncturist2006-06-27
Meaghan Mcclellan Mckay 35 Tennet Hill, Blue Hill, ME 04614Acupuncturist2024-01-05
Wellness Chiropractic P.C 20 East Blue Hill Rd., Blue Hill, ME 04614Chiropractor2009-01-12
School Union 93 20 Hinckley Ridge Road, Blue Hill, ME 04614Local Education Agency (LEA)2007-05-03
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.