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
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 |
|---|---|---|---|---|
| I20181016001355 | ME | Practitioner - Clinical Social Worker | 4284986498 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC15868 | ME | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Los Robles Radiologic Associates
- Sami Maldonado
- Janis Carol Mallon
- Celia Mantovani
- Mary E McCann
- Xanthe Moss
- Msad #51
- Katherine G Mullin
- Cassandra Marie Paine
- Jessica Pearson
All providers in Cumberland, 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 Sep 6, 2018. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.