Jodi L Cummings McGary, LCSW
Individual provider Active NPI Clinical Social Worker · Dover Foxcroft, ME
NPI 1194954024 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1194954024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC12041 (ME)
- Practice address
- 1048 South St
Dover Foxcroft, ME 04426-1232 - Phone
- (207) 564-3000
- Fax
- (207) 422-7339
- NPI assigned
- Jul 13, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091103000570 | ME | Practitioner - Clinical Social Worker | 8921146457 | Practice locations: Dover Foxcroft, ME |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC12041 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Center of Maine | Clinical | Current |
Accepting new patients |
Locations
1048 South St
Dovr Foxcroft, ME 04426
Phone (207) 564-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC12041 | ME | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 434479199 | Medicaid | ME |
Other providers in Dover Foxcroft, ME
- Emma Diane Comp
- Joanna M Condon
- Anita Louise Cooley
- Jessica Cortes
- Jolene Cox
- Ruby A D'Salva-Bouton
- Amy Dahlberg
- David P Frasz MD
- Davis Long Term Care Group Inc
- Davis Long Term Care Group Inc
All providers in Dover Foxcroft, 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 Jul 21, 2022. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.