Individual provider Active NPI

Scott Kenneth Morse, LCSW

  • Clinical Social Worker
  • South Portland, ME
National Provider Identifier
1104995224
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1C6637 Issued in ME
Practice address
609 Main St
Suite 4
South Portland, ME 04106-5453
Phone
(207) 329-4941
Fax
(207) 761-5606
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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 1C6637 ME Primary

Addresses

Primary practice location

609 Main St
Suite 4
South Portland, ME 04106-5453

Mailing address

609 Main St
Suite 4
South Portland, ME 04106-5453
Phone (207) 329-4941

Other identifiers 6

IdentifierTypeStateIssuer
2034293OtherCIGNA
276408OtherMHN
292702000OtherAETNA
292702000OtherMAGELLAN
022436OtherANTHEM
88101003MedicaidME

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
I20040728000784 ME Practitioner - Clinical Social Worker 2466422324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

180 Main St
Biddeford, ME 04005-2410
Phone (207) 329-4941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1C6637MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barron Morse Counseling PLLC Clinical Current Accepting new patients
Barron Morse Counseling PLLC CurrentSince Jul 1, 2011 Accepting new patients
Sweetser Past Accepting new patients

Locations

180 Main St
Biddeford, ME 04005
Phone (207) 283-0587

609 Main St
Ste 4
South Portland, ME 04106
Phone (207) 756-3717

Organizations & group practices 3

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1104995224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MAIN ST",
            "address_2": "SUITE 4",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065453",
            "telephone_number": "207-329-4941",
            "fax_number": "207-761-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MAIN ST",
            "address_2": "SUITE 4",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065453",
            "telephone_number": "207-329-4941",
            "fax_number": "207-761-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSE",
        "first_name": "SCOTT",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "1C6637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2034293",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "276408",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "292702000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "292702000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "022436",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88101003",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.