Sean Cochrane
Individual provider Active NPI Clinical Social Worker · Randolph, ME
NPI 1124675145 · NPPES record last updated Aug 23, 2019
Key facts
- NPI
- 1124675145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- MC18246 (ME)
- Practice address
- 9 Hillcrest Ave
Randolph, ME 04346-5131 - Phone
- (207) 582-9205
- Fax
- (207) 582-4360
- NPI assigned
- Aug 23, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC18246 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spurwink Services Incorporated | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MC18246 | ME | Yes |
Addresses
Primary practice location
9 Hillcrest Ave
Randolph, ME 04346-5131
Mailing address
901 Washington Ave Ste 100
Portland, ME 04103-2842
Phone (207) 871-1200
Other providers in Randolph, ME
- Thomas Andrew Bell
- Joelle Marie Bouchard
- Lacey Bourgoin
- Jennifer G Buckingham
- Michele Ann Mathieu Burgess
- Community Pharmacies LLC.
- Blythe Ellen Edwards
- Evergreen Synergy Physical Therapy LLC
- Jesse Higgins Fournier
- Michelle Harris
All providers in Randolph, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.