Elizabeth Anne McCarthy, LCSW

Individual provider Active NPI Clinical Social Worker · Cumberland, ME

NPI 1235565623 · NPPES record last updated Sep 6, 2018

Key facts

NPI
1235565623
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LC15868 (ME)
Practice address
48 Crossing Brook Rd
Cumberland, ME 04021
Phone
(207) 653-7383
NPI assigned
Sep 18, 2013
Sex
Female
Sole proprietor
Yes

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.

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 IDStateProvider typePAC IDDetails
I20181016001355 ME Practitioner - Clinical Social Worker 4284986498 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LC15868MEMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC15868 ME Yes

Addresses

Primary practice location

48 Crossing Brook Rd
Cumberland, ME 04021

Mailing address

48 Crossing Brook Rd
Cumberland, ME 04021-4124
Phone (207) 653-7383

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 6, 2018.

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1235565623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CROSSING BROOK RD",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040214124",
            "telephone_number": "207-653-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CROSSING BROOK RD",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "04021",
            "telephone_number": "207-653-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC15868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, ME

All providers in Cumberland, ME · Clinical Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.