Individual provider Active NPI

Chelsea Rose Mucciarone, LMSW-CC

  • Clinical Social Worker
  • Orono, ME
National Provider Identifier
1407245632
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MC15085 Issued in ME
Practice address
56 Park St Apt 1
Orono, ME 04473-4407
Phone
(207) 949-2312
NPI assigned
Jan 12, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MC15085 ME Primary

Addresses

Primary practice location

56 Park St Apt 1
Orono, ME 04473-4407

Mailing address

56 Park St Apt 1
Orono, ME 04473-4407
Phone (207) 949-2312

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
I20180827001688 ME Practitioner - Clinical Social Worker 0244589133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Higher Ground Services LLCGroup PAC ID 0345381836, 7 clinicians

Practice addresses (Care Compare)

235 Ctr St
Brewer, ME 04412-1961
Phone (207) 561-9496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC15085MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
McKay Counseling PLLC CurrentSince Dec 1, 2020 Accepting new patients
Higher Ground Services LLC CurrentSince Jul 10, 2018 Accepting new patients

Locations

235 Center St
Brewer, ME 04412
Phone (207) 299-5157

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1407245632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 PARK ST APT 1",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044734407",
            "telephone_number": "207-949-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 PARK ST APT 1",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044734407",
            "telephone_number": "207-949-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCCIARONE",
        "first_name": "CHELSEA",
        "middle_name": "ROSE",
        "credential": "LMSW-CC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC15085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orono, ME

Sources for this page

Verify at the official NPI Registry.