Individual provider Active NPI

Caroline Schluge Houppert, LCSW

  • Clinical Social Worker
  • Portland, ME
National Provider Identifier
1306861224
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC21954 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3134
Phone
(207) 662-4737
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 34005678A IN
Mental Health Counselor 101YM0800X 34005687A IN
Clinical Social Worker 1041C0700X 34005687A IN
Clinical Social Worker 1041C0700X LC21954 ME Primary

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

22 Bramhall St
Portland, ME 04102-3134

Other practice location 1

101 W Kirkwood Ave
Ste. 010
Bloomington, IN 47404-6129
Phone (317) 514-8077

Other practice location 2

101 W Kirkwood Ave
Ste. 010
Bloomington, IN 47404-6129
Phone (317) 514-8077

Other identifiers 1

IdentifierTypeStateIssuer
100182650MedicaidIN

Other names 1

  • Caroline Schluge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100430000021 IN Practitioner - Clinical Social Worker 1557498110 Reassigns benefits to 1 organization
I20230421002310 ME Practitioner - Clinical Social Worker 1557498110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34005678AINMDClinical Social Worker
34005687AINMDClinical Social Worker
LC21954MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince Feb 23, 2023 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Mainehealth CurrentSince Feb 23, 2023 Accepting new patients
Community Health Network, Inc CurrentSince Aug 27, 2018 Accepting new patients
Mainehealth Current Accepting new patients
Community Health Network, Inc. Past Accepting new patients

Locations

7165 Clearvista Way
Indianapolis, IN 46256
Phone (317) 621-5100

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1306861224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-4737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Kirkwood Ave",
            "address_2": "Ste. 010",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474046129",
            "country_code": "US",
            "telephone_number": "317-514-8077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Kirkwood Ave",
            "address_2": "Ste. 010",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474046129",
            "country_code": "US",
            "telephone_number": "317-514-8077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUPPERT",
        "first_name": "CAROLINE",
        "middle_name": "SCHLUGE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "34005678A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34005687A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005687A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC21954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100182650",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "SCHLUGE",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.