Individual provider Active NPI

Jonathan Orgel, LCSW

  • Clinical Social Worker
  • Saco, ME
National Provider Identifier
1124753215
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC21175 Issued in ME
Practice address
15 Joanna Dr
Saco, ME 04072-4400
Phone
(516) 721-3707
NPI assigned
Jul 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 LC21175 ME Primary

Addresses

Primary practice location

15 Joanna Dr
Saco, ME 04072-4400

Mailing address

15 Joanna Dr
Saco, ME 04072-4400
Phone (516) 721-3707

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
I20230419000065 ME Practitioner - Clinical Social Worker 5799150033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Corecover LLCGroup PAC ID 2264771419, 2 clinicians

Practice addresses (Care Compare)

10 Atlantic PL
South Portland, ME 04106-2316
Phone (207) 482-0276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Corecover, LLC Clinical CurrentSince Apr 1, 2023 Accepting new patients

Locations

10 Atlantic Pl
South Portland, ME 04106
Phone (207) 482-0276

Interoperability endpoints

  • Direct secure messaging: jonathan.orgel.1@27287.direct.athenahealth.com

Organizations & group practices 1

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124753215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 JOANNA DR",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040724400",
            "telephone_number": "516-721-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 JOANNA DR",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040724400",
            "telephone_number": "516-721-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORGEL",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC21175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

Verify at the official NPI Registry.