Shayne Croy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC16296 Issued in ME

Practice address

469 Main St Ste 304
Springvale, ME 04083

Phone

(207) 502-0056

NPI assigned

Jan 29, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sweetser

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saco, ME
  • NPI 1538122445

  ME

  Medicare reassignment NPD
• Day One

  • Children's Substance Abuse Rehabilitation Facility
  • Windham, ME
  • NPI 1164484093

  Clinical

  NPD (past)

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1477976397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1081",
            "city": "ALFRED",
            "state": "ME",
            "postal_code": "040021081",
            "telephone_number": "072-502-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 MAIN ST STE 304",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "04083",
            "telephone_number": "207-502-0056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Main St",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041065457",
            "country_code": "US",
            "telephone_number": "207-874-1045 x125",
            "fax_number": "207-767-0995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROY",
        "first_name": "SHAYNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-29",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC16296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164484093",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compass Behavioral Health
• Connections Counseling PLLC
• Chantel Cote, LCSW
• Paxton Couture, OTR/L
• Jeanne H. Croy, MSW
• Courtney Elizabeth Daly
• Davis Long Term Care Grop Inc
• Davis Long Term Care Group Inc
• Jessica L. Disanto, LCPC, CADC
• Cassidy Nicole Drew, LMSW

• All providers in Springvale, ME
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.