Individual provider Active NPI

Ilene Julie Schneider, LCSW

  • Clinical Social Worker
  • Ellsworth, ME
National Provider Identifier
1003078775
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC18002 Issued in ME
Practice address
Community Health and Counseling Services
52 Christian Ridge Road
Ellsworth, ME 04605
Phone
(207) 610-8027
Fax
(845) 225-3207
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R043885 NY
Clinical Social Worker 1041C0700X LC18002 ME Primary

Addresses

Primary practice location

Community Health and Counseling Services
52 Christian Ridge Road
Ellsworth, ME 04605

Mailing address

1808 Route 6
Carmel, NY 10512-2356
Phone (845) 216-0961

Other identifiers 1

IdentifierTypeStateIssuer
R043885OtherNYLICENSE

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
I20191111001825 ME Practitioner - Clinical Social Worker 8921171885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health and Counseling ServicesGroup PAC ID 4880658590, 12 clinicians

Practice addresses (Care Compare)

52 Christian Ridge Rd
Ellsworth, ME 04605-3210
Phone (207) 667-5357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R043885NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health and Counseling Services CurrentSince Sep 28, 2019 Accepting new patients
Community Health and Counseling Services CurrentSince Sep 28, 2019 Accepting new patients
Sound Shore Physician Services Past Accepting new patients
Putnam Family and Community Services Inc PastSince Aug 11, 2019 Accepting new patients
Putnam Family and Community Services Inc Mental Health PastSince Aug 11, 2019 Accepting new patients

Locations

42 Cedar St
Bangor, ME 04401
Phone (207) 922-4600

52 Christian Ridge Rd
Ellsworth, ME 04605
Phone (207) 667-0293

Organizations & group practices 5

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1003078775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 ROUTE 6",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122356",
            "telephone_number": "845-216-0961",
            "fax_number": "845-225-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMUNITY HEALTH AND COUNSELING SERVICES",
            "address_2": "52 CHRISTIAN RIDGE ROAD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "04605",
            "telephone_number": "207-610-8027",
            "fax_number": "845-225-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "ILENE",
        "middle_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R043885",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC18002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R043885",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

Verify at the official NPI Registry.