Richard D. Bissell Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC10001 Issued in ME

Practice address

42 Cedar St
Bangor, ME 04401-6433

Phone

(207) 947-0366

Fax

(207) 942-4350

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wellspring, Inc.

  • Community/Behavioral Health Agency
  • Bangor, ME
  • NPI 1568694511
  Medicare reassignment NPD
• Pine Tree Urgent Care LLC

  • Urgent Care Clinic/Center
  • Bangor, ME
  • NPI 1679450969
  NPD

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255453361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 CLARK HILL RD",
            "city": "HOLDEN",
            "state": "ME",
            "postal_code": "044297250",
            "telephone_number": "207-843-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CEDAR ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016433",
            "telephone_number": "207-947-0366",
            "fax_number": "207-942-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSELL",
        "first_name": "RICHARD",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC10001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Birocco, LCSW
• Katrina Marie Bisheimer, RNC
• Brian James Bishop, DDS
• Sarah Bishop, LCSW
• Kristina M Bissell, LCSW
• Nathan Bisson, PA-C
• Manoach Bizumuremyi
• BJ'S Wholesale Club Inc.
• Thorarinn Arni Bjarnason, MD
• David Harlan Bjork, DC

• Clinical Social Worker in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.