Susan M Soverel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC5939 Issued in ME

Practice address

469 Main St Ste 206
Springvale, ME 04083-1871

Phone

(207) 490-5389

Fax

(207) 490-5390

NPI assigned

Mar 25, 2011

Sex

Female

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Judy Gagnon Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springvale, ME
  • NPI 1417719931
  NPD (past)
• Maine Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Biddeford, ME
  • NPI 1891733309
  NPD (past)

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1154620482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 MAIN ST STE 206",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831871",
            "telephone_number": "207-490-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 MAIN ST STE 206",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831871",
            "telephone_number": "207-490-5389",
            "fax_number": "207-490-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVEREL",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-25",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Sikes, DPT
• Monique Simone, LCSW
• Patrick V Smith, LMSW/CC
• Rebecca Lee Smith, LCSW
• Stephanie Rose Smith, RN
• Lindsey M. Stockwell, LMSW-CC
• Rita-Mary Sweeney, M.S, CFY-SLP
• Lorraine Kimball Swenson, LCPC
• Devyn Nicole Talbot, LMSW-CC
• Melissa Cohee Taylor-Bowen, CCC-SLP

• Clinical Social Worker in Springvale, ME
• Providers in Springvale, 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 Oct 3, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.