Individual provider Active NPI

Jodi L Cummings McGary, LCSW

  • Clinical Social Worker
  • Dover Foxcroft, ME
National Provider Identifier
1194954024
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC12041 Issued in ME
Practice address
1048 South St
Dover Foxcroft, ME 04426-1232
Phone
(207) 564-3000
Fax
(207) 422-7339
NPI assigned
Jul 13, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

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 LC12041 ME Primary

Addresses

Primary practice location

1048 South St
Dover Foxcroft, ME 04426-1232

Mailing address

PO Box 29
Dovr Foxcroft, ME 04426-0029
Phone (207) 564-3000

Other identifiers 1

IdentifierTypeStateIssuer
434479199MedicaidME

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
I20091103000570 ME Practitioner - Clinical Social Worker 8921146457 Practice locations: Dover Foxcroft, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1048 S St
Dover Foxcroft, ME 04426-1232
Phone (207) 564-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Center of Maine Clinical CurrentSince Jul 24, 2022 Accepting new patients

Locations

1048 South St
Dovr Foxcroft, ME 04426
Phone (207) 564-3000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194954024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "DOVR FOXCROFT",
            "state": "ME",
            "postal_code": "044260029",
            "telephone_number": "207-564-3000",
            "fax_number": "207-422-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 SOUTH ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261232",
            "telephone_number": "207-564-3000",
            "fax_number": "207-422-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS MCGARY",
        "first_name": "JODI",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC12041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434479199",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

Verify at the official NPI Registry.