Individual provider Active NPI

Patricia Limon Sands, LCSW

  • Clinical Social Worker
  • Yarmouth, ME
National Provider Identifier
1003077165
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC11559 Issued in ME
Practice address
273 Main St
Ste 2
Yarmouth, ME 04096-6753
Phone
(207) 415-3649
Fax
(844) 839-4800
NPI assigned
Jun 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC11559 ME Primary

Addresses

Primary practice location

273 Main St
Ste 2
Yarmouth, ME 04096-6753

Mailing address

273 Main St
Ste 2
Yarmouth, ME 04096-6753
Phone (207) 415-3649

Other identifiers 1

IdentifierTypeStateIssuer
432295899MedicaidME

Other names 1

  • Patricia Ann Ross Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000619 ME Practitioner - Clinical Social Worker 0941363501 Reassigns benefits to 1 organization
Practice locations: Yarmouth, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

273 Main St
Suite 2
Yarmouth, ME 04096-6753
Phone (207) 415-3649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Azure Counseling LLC Clinical CurrentSince Jan 3, 2023 Accepting new patients

Locations

273 Main St
Ste 2
Yarmouth, ME 04096
Phone (207) 415-3649

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1003077165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 MAIN ST",
            "address_2": "STE 2",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966753",
            "telephone_number": "207-415-3649",
            "fax_number": "844-839-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 MAIN ST",
            "address_2": "STE 2",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966753",
            "telephone_number": "207-415-3649",
            "fax_number": "844-839-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDS",
        "first_name": "PATRICIA",
        "middle_name": "LIMON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-21",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432295899",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "ROSS",
            "middle_name": "ANN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yarmouth, ME

Sources for this page

Verify at the official NPI Registry.