Individual provider Active NPI

Galen Perkins, LMSW-CC

  • Clinical Social Worker
  • Saco, ME
National Provider Identifier
1356027874
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
199 Main St FL 3
Saco, ME 04072-1508
Phone
(207) 571-3008
NPI assigned
Jun 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

199 Main St FL 3
Saco, ME 04072-1508

Mailing address

PO Box 1189
Saco, ME 04072-1189
Phone (207) 671-6918

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
I20260512000118 ME Practitioner - Clinical Social Worker 8729556493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Institute for Trauma Recovery LLCGroup PAC ID 6305110438, 3 clinicians

Practice addresses (Care Compare)

199 Main St
Saco, ME 04072-1508
Phone (207) 571-3008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Island Institute for Trauma Recovery LLC CurrentSince Jul 2, 2023 Accepting new patients
Rudolph Skowronski LCSW LLC Clinical CurrentSince Jan 19, 2025 Accepting new patients

Locations

199 Main St
Fl 3
Saco, ME 04072
Phone (207) 571-3008

199 Main St
Saco, ME 04072
Phone (207) 229-2398

Organizations & group practices 2

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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1356027874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721189",
            "telephone_number": "207-671-6918"
        },
        {
            "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": "207-571-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "GALEN",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

Verify at the official NPI Registry.