Individual provider Active NPI

Sharon Neil, LCSW

  • Clinical Social Worker
  • Livermore Falls, ME
National Provider Identifier
1356352272
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC6884
Practice address
96 Main St
Livermore Falls, ME 04254-1511
Phone
(207) 645-9770
Fax
(207) 520-2373
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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 LC6884 Primary

Addresses

Primary practice location

96 Main St
Livermore Falls, ME 04254-1511

Mailing address

96 Main St
Livermore Falls, ME 04254-1511
Phone (207) 645-9770

Other identifiers 1

IdentifierTypeStateIssuer
263520099MedicaidME

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
I20090702000356 ME Practitioner - Clinical Social Worker 5890843478 Reassigns benefits to 1 organization
Practice locations: Livermore Falls, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Counseling Center PAGroup PAC ID 7810264363, 2 clinicians

Practice addresses (Care Compare)

96 Main St
Livermore Falls, ME 04254-1511
Phone (207) 897-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Counseling Center, P.a. CurrentSince Mar 1, 2017 Accepting new patients
Possibilities Counseling Services, Inc. Past Accepting new patients

Locations

96 Main St
Livermore Fls, ME 04254
Phone (207) 645-9770

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1356352272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 MAIN ST",
            "city": "LIVERMORE FALLS",
            "state": "ME",
            "postal_code": "042541511",
            "telephone_number": "207-645-9770",
            "fax_number": "207-520-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 MAIN ST",
            "city": "LIVERMORE FALLS",
            "state": "ME",
            "postal_code": "042541511",
            "telephone_number": "207-645-9770",
            "fax_number": "207-520-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIL",
        "first_name": "SHARON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "LC6884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263520099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore Falls, ME

Sources for this page

Verify at the official NPI Registry.