Individual provider Active NPI

Lori-Ann Gato, LCSW

  • Clinical Social Worker
  • Scarborough, ME
National Provider Identifier
1356454573
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC 11532 Issued in ME
Practice address
200 Professional Dr
Scarborough, ME 04074-8434
Phone
(207) 883-0711
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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 LC 11532 ME Primary

Addresses

Primary practice location

200 Professional Dr
Scarborough, ME 04074-8434

Mailing address

78 Atlantic PL
South Portland, ME 04106-2316
Phone (207) 842-6540

Other identifiers 1

IdentifierTypeStateIssuer
432212699MedicaidME

Other names 1

  • Lori-Ann Boutin Former name

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
I20090107000233 ME Practitioner - Clinical Social Worker 3971663063 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince Jun 13, 2016 Accepting new patients
Maine Medical Partners CurrentSince Jun 13, 2016 Accepting new patients
Deer Oaks Mental Health Associates PC CurrentSince May 22, 2023 Accepting new patients
Maine Medical Partners CurrentSince Jun 13, 2016 Accepting new patients
The Counseling Center of Nashua Inc Clinical CurrentSince Jan 1, 2021 Accepting new patients
Maine Medical Partners CurrentSince Jun 13, 2016 Accepting new patients
Transitions Counseling, Inc. Past Accepting new patients

Locations

750 Union St
Bangor, ME 04401
Phone (207) 942-7336

53 Baxter Blvd
Portland, ME 04101
Phone (207) 245-1648

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

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

1 Harnois Ave
Ste 2A
Westbrook, ME 04092
Phone (207) 661-3400

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

1 Main St
Nashua, NH 03064
Phone (603) 689-7978

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Interoperability endpoints

  • Direct secure messaging: ccn.lorigato@140126.advancedmd-direct.com

Organizations & group practices 7

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1356454573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 ATLANTIC PL",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062316",
            "telephone_number": "207-842-6540",
            "fax_number": "207-842-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROFESSIONAL DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748434",
            "telephone_number": "207-883-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATO",
        "first_name": "LORI-ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC 11532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432212699",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI-ANN",
            "last_name": "BOUTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.