Lori A Martin, LCSW
Individual provider Active NPI Clinical Social Worker · Madawaska, ME
NPI 1396863791 · NPPES record last updated May 10, 2013
Key facts
- NPI
- 1396863791
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC11621 (ME)
- Practice address
- 272 Main Street Suite 103
Madawaska, ME 04756-0602 - Phone
- (207) 436-9587
- Fax
- (207) 728-3131
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Maine Medical Center
Practice addresses (Care Compare)
194 E Main St
Fort Kent, ME 04743-1428
Phone (207) 834-3155
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 |
|---|---|---|---|---|
| I20090508000293 | ME | Practitioner - Clinical Social Worker | 0345398954 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC11621 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweetser | Current |
Accepting new patients | |
| Northern Maine Medical Center | Current |
Accepting new patients | |
| Northern Maine Medical Center | Current |
Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Aroostook Mental Health Services, Inc. | Clinical | Past |
Accepting new patients |
Locations
28 Sweetser Dr
Belfast, ME 04915
Phone (207) 284-5981
194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101
460 Main St
Ste 201
Madawaska, ME 04756
Phone (207) 728-7300
50 Moody St
Saco, ME 04072
Phone (207) 284-5981
Interoperability endpoints
- lorimartin@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC11621 | ME | Yes |
Addresses
Primary practice location
272 Main Street Suite 103
Madawaska, ME 04756-0602
Mailing address
PO Box 602
Madawaska, ME 04756-0602
Phone (207) 436-9587
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431878499 | Other | ME | MAINE CARE NUMBER |
Other providers in Madawaska, ME
- Jonathan E. Madore
- Mercedes Madore
- Chelsea Elizabeth Martin
- Elise Anne Martin
- Lisa H Martin
- Debbra A McGlaughlin
- Dennis P. Michaud
- Kayla CL Michaud
- Maleka Michaud
- Stacie A Murphy
All providers in Madawaska, 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 May 10, 2013. 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.