Individual provider Active NPI

Susan E Sloane, LCSW

  • Clinical Social Worker
  • Portland, ME
National Provider Identifier
1437192960
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC6546 Issued in ME
Practice address
142 High St
Suite 514
Portland, ME 04101-2851
Phone
(207) 239-2908
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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 LC6546 ME Primary

Addresses

Primary practice location

142 High St
Suite 514
Portland, ME 04101-2851

Mailing address

142 High St
Suite 514
Portland, ME 04101-2851
Phone (207) 239-2908

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
I20040413000218 ME Practitioner - Clinical Social Worker 8628062692 Reassigns benefits to 1 organization
Practice locations: Portland, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of New England, College of Osteo Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Affiliates Maine, LLCGroup PAC ID 1951594076, 169 clinicians

Practice addresses (Care Compare)

306 Rodman Rd
Auburn, ME 04210-3830
Phone (207) 333-3278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC6546MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Affiliates Maine, LLC CurrentSince Sep 1, 2010 Accepting new patients
Healthreach Community Health Centers PastSince Dec 27, 1991 Accepting new patients
Healthreach Community Health Centers Past Accepting new patients
Transitions Counseling, Inc. Past Accepting new patients
Possibilities Counseling Services, Inc. Past Accepting new patients

Locations

306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278

Organizations & group practices 5

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1437192960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 HIGH ST",
            "address_2": "SUITE 514",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012851",
            "telephone_number": "207-239-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 HIGH ST",
            "address_2": "SUITE 514",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012851",
            "telephone_number": "207-239-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOANE",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.