Samuel E. Roy, LMSW-CC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MC21278 Issued in ME

Practice address

22 W Cole Rd Ste 103
Biddeford, ME 04005-9431

Phone

(207) 571-9923

Fax

(207) 571-9927

NPI assigned

Oct 18, 2023

Sex

Male

Sole proprietor

No

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oceanside Community ServicesGroup PAC ID 6406980903, 4 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.

• Oceanside Community Services

  • Community/Behavioral Health Agency
  • Biddeford, ME
  • NPI 1821324815
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1013799600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W COLE RD STE 103",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059431",
            "telephone_number": "207-571-9923",
            "fax_number": "207-571-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W COLE RD STE 103",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059431",
            "telephone_number": "207-571-9923",
            "fax_number": "207-571-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "SAMUEL",
        "middle_name": "E.",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC21278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Marie Roop, DO
• Eileen Rorke-Soucie, RN
• Keith Rosenberg, M.D., M.P.H.
• Ali Rouhi Nozadi, D.D.S
• Christopher Gordon Roy, MD
• Peter Rubin, M.D.
• RWW Home and Community Rehab Services, Inc.
• Brendan Patrick Ryan, CRNA
• Megan Anne Ryan, CRNA
• Martha J. Ryder, LCSW

• Social Worker in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.