Tabitha Sagner

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC14436 Issued in ME

Practice address

40 Summer St
Bangor, ME 04401-6446

Phone

(207) 945-4240

NPI assigned

Oct 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthreach Community Health CentersGroup PAC ID 5496726523, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthreach Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Belgrade, ME
  • NPI 1851364632
  Medicare reassignment Care Compare group NPD
• Healthreach Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Fairfield, ME
  • NPI 1285302893
  NPD

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1003243163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 LEE RD",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "04457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SUMMER ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016446",
            "telephone_number": "207-945-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGNER",
        "first_name": "TABITHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC14436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan A Ryder, LCPC
• Romene Sablok
• Alen Sabu, MD
• Sacred Oak LLC
• Katarzyna Sadurska, MD
• Alexandra Pasternack Sagov, LMSW
• Sajan Babu Sah, MD
• Tahira Saifuddin, MD
• Saltire Mental Health Inc PA
• Harpreet Saluja, MD

• Clinical Social Worker in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.

Verify at the official NPI Registry.