Active NPI
Ilene Julie Schneider, LCSW
- Clinical Social Worker
- Ellsworth, ME
National Provider Identifier
1003078775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC18002
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R043885 | Other | NY | LICENSE |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R043885 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health and Counseling Services | Current | Accepting new patients | |
| Community Health and Counseling Services | Current | Accepting new patients | |
| Sound Shore Physician Services | Past | Accepting new patients | |
| Putnam Family and Community Services Inc | Past | Accepting new patients | |
| Putnam Family and Community Services Inc | Mental Health | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bangor, ME
- NPI 1457415184
-
- Community Based Hospice Care Agency
- Bangor, ME
- NPI 1508921842
-
- Mental Health Counselor
- Carmel, NY
- NPI 1497737167
-
- Mental Illness Community Based Residential Treatment Facility
- Carmel, NY
- NPI 1972458545
-
- Clinic/Center
- New Rochelle, NY
- NPI 1689883068
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.