Kenneth A Harvey Jr., LCSW
Individual provider Active NPI Clinical Social Worker · Bucksport, ME
NPI 1376948877 · NPPES record last updated Apr 1, 2024
Key facts
- NPI
- 1376948877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC16418 (ME)
- Practice address
- 54 Main St
Bucksport, ME 04416-4112 - Phone
- (207) 323-4449
- NPI assigned
- Oct 27, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
54 Main St
Bucksport, ME 04416-4112
Phone (207) 323-4449
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190610000773 | ME | Practitioner - Clinical Social Worker | 3072846906 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC16418 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Affiliates Maine, LLC | Current |
Accepting new patients | |
| Mainestay Counseling, LLC | Clinical | Current |
Accepting new patients |
Locations
306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC16418 | ME | Yes |
Addresses
Primary practice location
54 Main St
Bucksport, ME 04416-4112
Mailing address
22 Fox Run CT
Winterport, ME 04496-3045
Phone (207) 323-4449
Other providers in Bucksport, ME
- Thomas Joseph Gaffney
- R Maxwell Goode
- GPC,LLC
- Thomas A Gray
- Heather Harriman
- Highland Sanctuary & Retreat
- Kim L Hopkins
- Hutchins Physical Therapy, LLC
- Donna N Kelly
- Donna L Kennedy
All providers in Bucksport, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.