Active NPI
Max James Louison-Semrow, LCSW / LICSW
- Clinical Social Worker
- Scarborough, ME
National Provider Identifier
1386411775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC22078
- Practice address
- 144 US Route 1
Scarborough, ME 04074-7219 - Phone
- (207) 396-7606
- Fax
- (207) 819-6802
- NPI assigned
- Dec 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC22078 | ME | Primary |
| Clinical Social Worker | 1041C0700X | LICSW126 | MA |
Addresses
Primary practice location
144 US Route 1
Scarborough, ME 04074-7219
Mailing address
144 US Route 1
Scarborough, ME 04074-7219
Phone (207) 396-7606
Other practice location 1
27 Industrial Ave Ste 101
Sanford, ME 04073-5846
Phone (207) 396-7606
Other practice location 2
310 Poland Range Rd
Pownal, ME 04069-6206
Phone (207) 200-4351
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
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Pownal, ME 04069
Phone (207) 200-4351
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW126 | MA | MD | Clinical Social Worker |
| LC22078 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Max Louison-Semrow LCSW, LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Pownal, ME
- NPI 1598595688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1386411775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747219",
"telephone_number": "207-396-7606",
"fax_number": "207-819-6802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747219",
"telephone_number": "207-396-7606",
"fax_number": "207-819-6802"
}
],
"practiceLocations": [
{
"address_1": "27 Industrial Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Sanford",
"state": "ME",
"postal_code": "040735846",
"country_code": "US",
"telephone_number": "207-396-7606",
"fax_number": "207-819-6802",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 Poland Range Rd",
"address_purpose": "LOCATION",
"city": "Pownal",
"state": "ME",
"postal_code": "040696206",
"country_code": "US",
"telephone_number": "207-200-4351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOUISON-SEMROW",
"first_name": "MAX",
"middle_name": "JAMES",
"credential": "LCSW / LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-06",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC22078",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW126",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.