Individual provider Active NPI

Laura Moore Zegel, MSW

  • Social Worker
  • Rockland, ME
National Provider Identifier
1386710101
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LC4771 Issued in ME
Practice address
417 Main St
Suite 203
Rockland, ME 04841
Phone
(207) 596-5844
NPI assigned
Nov 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LC4771 ME Primary

Addresses

Primary practice location

417 Main St
Suite 203
Rockland, ME 04841

Mailing address

PO Box 855
Rockland, ME 04841-0855
Phone (207) 596-5844

Other identifiers 2

IdentifierTypeStateIssuer
016803OtherMEANTHEM BCBS
7240298OtherMEAETNA

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
I20060406000317 ME Practitioner - Clinical Social Worker 6406865245 Practice locations: Rockland, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

385 Main St
Suite 8
Rockland, ME 04841-3353
Phone (207) 596-5844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386710101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 855",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048410855",
            "telephone_number": "207-596-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 MAIN ST",
            "address_2": "SUITE 203",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "04841",
            "telephone_number": "207-596-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEGEL",
        "first_name": "LAURA",
        "middle_name": "MOORE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC4771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "016803",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7240298",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, ME

Sources for this page

Verify at the official NPI Registry.