Individual provider Active NPI

Elizabeth Demott, LCSW

  • Clinical Social Worker
  • Madawaska, ME
National Provider Identifier
1225468796
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
88 Fox St
Suite 201
Madawaska, ME 04756-1352
Phone
(207) 728-6341
Fax
(207) 728-7762
NPI assigned
Nov 20, 2013
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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 NU Primary

Addresses

Primary practice location

88 Fox St
Suite 201
Madawaska, ME 04756-1352

Mailing address

88 Fox St
Suite 201
Madawaska, ME 04756-1352
Phone (207) 728-6341

Other practice location 1

2100 N Main St Ste 304
Crown Point, IN 46307-1877
Phone (574) 546-1900

Other identifiers 1

IdentifierTypeStateIssuer
1225468796MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200501000484 IN Practitioner - Clinical Social Worker 5991135162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology and Pain Management Associates PCGroup PAC ID 4486676095, 86 clinicians

Practice addresses (Care Compare)

2100 N Main St
Suite 304
Crown Point, IN 46307-1877
Phone (574) 546-1900

Merit-based Incentive Payment System (MIPS)

Final score
93.06 of 100Reported as group
Quality
80.07
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology and Pain Management Associates PC Mental Health CurrentSince Apr 27, 2020 Accepting new patients

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": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1225468796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 FOX ST",
            "address_2": "SUITE 201",
            "city": "MADAWASKA",
            "state": "ME",
            "postal_code": "047561352",
            "telephone_number": "207-728-6341",
            "fax_number": "207-728-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 FOX ST",
            "address_2": "SUITE 201",
            "city": "MADAWASKA",
            "state": "ME",
            "postal_code": "047561352",
            "telephone_number": "207-728-6341",
            "fax_number": "207-728-7762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 N Main St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463071877",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMOTT",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225468796",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madawaska, ME

Sources for this page

Verify at the official NPI Registry.