Rudolph Albert Skowronski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC6729 Issued in ME

Practice address

199 Main St FL 3
Saco, ME 04072-1508

Phone

(207) 776-8245

Fax

(207) 571-3263

NPI assigned

Jun 21, 2006

Last updated

Aug 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

University of New England, College of Osteo Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Island Institute for Trauma Recovery LLC

  • Community/Behavioral Health Agency
  • Saco, ME
  • NPI 1174853717
  Medicare reassignment NPD Authorized official
• Rudolph Skowronski LCSW LLC

  • Clinical Social Worker
  • Saco, ME
  • NPI 1265506604
  Medicare reassignment NPD Authorized official
• Deborah a Dana LCSW LLC

  • Clinical Social Worker
  • Saco, ME
  • NPI 1730378472
  NPD (past)
• Partnership for Health, Healing & Community

  • Clinical Social Worker
  • Saco, ME
  • NPI 1942301650
  NPD (past)
• Sweetser

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saco, ME
  • NPI 1538122445
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1386680858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 BACK RD",
            "city": "ALFRED",
            "state": "ME",
            "postal_code": "040023289",
            "telephone_number": "077-768-2452",
            "fax_number": "207-571-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MAIN ST FL 3",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721508",
            "telephone_number": "207-776-8245",
            "fax_number": "207-571-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOWRONSKI",
        "first_name": "RUDOLPH",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "2120621",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER NUMBER",
            "identifier": "7173577000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia Short, LCSW
• Nicolas Demetrius Sikaczowski, DO
• Linda P. Sillars, PMHNP, BC
• Anne Marie Sirois
• Laurie Sivonen, LCSW
• Sleepmed Inc.
• Sloan Therapies LLC
• Deborah Sloan, OTR/L
• Crystal N Slone, LCSW
• Cynthia Ann Small, LCSW

• Clinical Social Worker in Saco, ME
• Providers in Saco, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.

Verify at the official NPI Registry.