Priyadarshi George, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC1689 Issued in ME

Practice address

1227 Prescott Rd
Manchester, ME 04351-3010

Phone

(207) 623-2180

NPI assigned

Dec 4, 2014

Last updated

Dec 16, 2020By the provider in NPPES

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

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

University of Connecticut School of Medicine, 1986

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Arts of Living Learning Center

  • Clinical Social Worker
  • Augusta, ME
  • NPI 1417353822
  NPD (past) Authorized official

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1265839369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 PRESCOTT RD",
            "city": "MANCHESTER",
            "state": "ME",
            "postal_code": "043513010",
            "telephone_number": "207-623-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 PRESCOTT RD",
            "city": "MANCHESTER",
            "state": "ME",
            "postal_code": "043513010",
            "telephone_number": "207-623-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "PRIYADARSHI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-04",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC1689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evergreen Health, LLC (Evregreen, Health LLC)
• Samantha Farago, ATC, LAT, CSNC
• Kimberly Fletcher, IPDH
• Sabrina Ford
• Erica M Gates, LCPC-C
• Emily Gilman
• Diana M Grant
• Neil A Graves, RPH
• Mackenzie Guerin, BSN, RN
• Sara D Halsey, CADC

• Clinical Social Worker in Manchester, ME
• Providers in Manchester, 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 Dec 16, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.