Active NPI
Rudolph Skowronski LCSW LLC
- Clinical Social Worker
- Saco, ME
National Provider Identifier
1265506604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC6729
- Legal business name
- RUDOLPH SKOWRONSKI LCSW LLC
- Practice address
- 199 Main St FL 3
Saco, ME 04072-1508 - Phone
- (207) 776-8245
- Fax
- (207) 571-3263
- NPI assigned
- Nov 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rudolph Albert Skowronski, LCSW
- Title
- Psychotherapist
- Phone
- (207) 571-3008
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC6729 | ME | Primary |
Addresses
Primary practice location
199 Main St FL 3
Saco, ME 04072-1508
Mailing address
276 Back Rd
Alfred, ME 04002-3289
Phone (207) 776-8245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
199 Main St
Fl 3
Saco, ME 04072
Phone (207) 571-3008
110 Main St
Ste 1306
Saco, ME 04072
Phone (207) 571-3008
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Saco, ME
- NPI 1386680858
-
- Clinical Social Worker
- Saco, ME
- NPI 1578256327
-
- Clinical Social Worker
- Saco, ME
- NPI 1962243204
-
- Clinical Social Worker
- Saco, ME
- NPI 1356027874
-
- Clinical Social Worker
- Saco, ME
- NPI 1467586156
-
- Clinical Social Worker
- Saco, ME
- NPI 1053445767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736985600000",
"number": "1265506604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 BACK RD",
"city": "ALFRED",
"state": "ME",
"postal_code": "040023289",
"telephone_number": "207-776-8245",
"fax_number": "207-571-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 MAIN ST FL 3",
"city": "SACO",
"state": "ME",
"postal_code": "040721508",
"telephone_number": "207-776-8245",
"fax_number": "207-571-3263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUDOLPH SKOWRONSKI LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-18",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A",
"authorized_official_last_name": "SKOWRONSKI",
"authorized_official_first_name": "RUDOLPH",
"authorized_official_middle_name": "ALBERT",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "207-571-3008",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC6729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.