Individual provider Active NPI

Milja Brecher-Demuro, LCSW

  • Clinical Social Worker
  • Bar Harbor, ME
National Provider Identifier
1326355207
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC13783 Issued in ME
Practice address
1489 State Highway 102
Bar Harbor, ME 04609-7021
Phone
(207) 288-3388
Fax
(207) 288-9888
NPI assigned
Sep 13, 2010
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MC12711 ME
Addiction (Substance Use Disorder) Counselor 101YA0400X MC12711 ME
Clinical Social Worker 1041C0700X LC13783 ME Primary

Addresses

Primary practice location

1489 State Highway 102
Bar Harbor, ME 04609-7021

Mailing address

1489 State Highway 102
Bar Harbor, ME 04609-7021
Phone (207) 288-3388

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130513000472 ME Practitioner - Clinical Social Worker 5294972147 Practice locations: Bar Harbor, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1489 State Hwy 102
Bar Harbor, ME 04609-7021
Phone 20728833883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC12711MEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Acadia Family Center PastSince Aug 1, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1326355207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 STATE HIGHWAY 102",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046097021",
            "telephone_number": "207-288-3388",
            "fax_number": "207-288-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 STATE HIGHWAY 102",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046097021",
            "telephone_number": "207-288-3388",
            "fax_number": "207-288-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECHER-DEMURO",
        "first_name": "MILJA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "MC12711",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "MC12711",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC13783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bar Harbor, ME

Sources for this page

Verify at the official NPI Registry.