Individual provider Active NPI

Patricia K. Davis, LCSW

  • Clinical Social Worker
  • Topsham, ME
National Provider Identifier
1366504516
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC5845 Issued in ME
Practice address
1 Wellness Way
Topsham, ME 04086-1768
Phone
(207) 406-7600
Fax
(207) 406-7601
NPI assigned
Dec 14, 2006
Last updated
Sep 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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 LC5845 ME Primary

Addresses

Primary practice location

1 Wellness Way
Topsham, ME 04086-1768

Mailing address

37 Mill St
Brunswick, ME 04011-1914
Phone (207) 729-4004

Other practice location 1

37 Mill St
Brunswick, ME 04011-1914
Phone (207) 729-4004

Other identifiers 1

IdentifierTypeStateIssuer
11540376OtherCAQH

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
I20050701000164 ME Practitioner - Clinical Social Worker 2961448733 Practice locations: Brunswick, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37 Mill St
RM 8
Brunswick, ME 04011-1914
Phone (207) 729-4004

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Insights Counseling, LLC Clinical CurrentSince Jun 1, 2023 Accepting new patients
Jeff Morrill, LCSW, LLC Clinical CurrentSince Sep 29, 2019 Accepting new patients
Kennebec Valley Mental Health Center PastSince Nov 6, 2000 Accepting new patients

Locations

37 Mill St
Brunswick, ME 04011
Phone (207) 489-4043

37 Mill St
Rm 8
Brunswick, ME 04011
Phone (207) 729-4004

Organizations & group practices 3

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1366504516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MILL ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040111914",
            "telephone_number": "207-729-4004",
            "fax_number": "207-406-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WELLNESS WAY",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861768",
            "telephone_number": "207-406-7600",
            "fax_number": "207-406-7601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Mill St",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040111914",
            "country_code": "US",
            "telephone_number": "207-729-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PATRICIA",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11540376",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topsham, ME

Sources for this page

Verify at the official NPI Registry.