Individual provider Active NPI

Ricki Lynn Schechter-Avant, LCSW, LADC

  • Clinical Social Worker
  • Brunswick, ME
National Provider Identifier
1457360604
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC1174 AND LC179 Issued in ME
Practice address
29 Autumn View LN
Brunswick, ME 04011-7480
Phone
(207) 406-4009
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 LC1174 AND LC179 ME Primary

Addresses

Primary practice location

29 Autumn View LN
Brunswick, ME 04011-7480

Mailing address

29 Autumn View LN
Brunswick, ME 04011-7480
Phone (207) 406-4009

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
I20100604000233 ME Practitioner - Clinical Social Worker 2860528718 Practice locations: Brunswick, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

29 Autumn View LN
Brunswick, ME 04011-7480
Phone (207) 406-4009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC1174 AND LC179MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1457360604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 AUTUMN VIEW LN",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040117480",
            "telephone_number": "207-406-4009",
            "fax_number": "207-865-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 AUTUMN VIEW LN",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040117480",
            "telephone_number": "207-406-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHECHTER-AVANT",
        "first_name": "RICKI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC1174 AND  LC179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.