Individual provider Active NPI

Erin B Skall, LCSW

  • Clinical Social Worker
  • South Portland, ME
National Provider Identifier
1487905519
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC14980 Issued in ME
Practice address
125 John Roberts Rd
Suite 12
South Portland, ME 04106-3295
Phone
(207) 828-0048
NPI assigned
Sep 28, 2012
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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 LC14980 ME Primary

Addresses

Primary practice location

125 John Roberts Rd
Suite 12
South Portland, ME 04106-3295

Mailing address

125 John Roberts Rd
Suite 12
South Portland, ME 04106-3295
Phone (207) 828-0048

Other practice location 1

5 Bucknam Rd Ste 2A
Falmouth, ME 04105-1209
Phone (207) 781-1775

Other practice location 2

75 John Roberts Rd Bldg B
South Portland, ME 04106-6961
Phone (207) 775-4151

Other names 1

  • Erin Chouinard Other name

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
I20250204002126 ME Practitioner - Clinical Social Worker 1355871526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

5 Bucknam Rd
Falmouth, ME 04105-1209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jan 27, 2025 Accepting new patients
Mainehealth CurrentSince Jan 27, 2025 Accepting new patients
Mainehealth Current Accepting new patients

Locations

5 Bucknam Rd
Ste 2A
Falmouth, ME 04105
Phone (207) 781-1775

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

75 John Roberts Rd
Bldg B
South Portland, ME 04106
Phone (207) 662-5522

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1487905519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 JOHN ROBERTS RD",
            "address_2": "SUITE 12",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063295",
            "telephone_number": "207-828-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 JOHN ROBERTS RD",
            "address_2": "SUITE 12",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063295",
            "telephone_number": "207-828-0048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Bucknam Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "ME",
            "postal_code": "041051209",
            "country_code": "US",
            "telephone_number": "207-781-1775",
            "fax_number": "207-781-1780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 John Roberts Rd Bldg B",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041066961",
            "country_code": "US",
            "telephone_number": "207-775-4151",
            "fax_number": "207-775-6950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKALL",
        "first_name": "ERIN",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC14980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "CHOUINARD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.