Individual provider Active NPI

Samuel C Larouche, LMSW-CC

  • Social Worker
  • Lewiston, ME
National Provider Identifier
1497392500
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MC18122 Issued in ME
Practice address
100 Campus Ave Stes a&B
Lewiston, ME 04240
NPI assigned
Dec 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MC18122 ME Primary

Addresses

Primary practice location

100 Campus Ave Stes a&B
Lewiston, ME 04240

Mailing address

PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8950

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
I20230320001959 ME Practitioner - Clinical Social Worker 7113391889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

76 High St
FL 1
Lewiston, ME 04240-7649
Phone (207) 795-2800

Hospital & facility affiliations

  • Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC18122MEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Clinical Services, Inc CurrentSince Feb 1, 2023 Accepting new patients
Community Clinical Services, Inc. Current Accepting new patients
Central Maine Medical Center CurrentSince May 26, 2025 Accepting new patients
Central Maine Medical Center CurrentSince May 26, 2025 Accepting new patients
Community Clinical Services, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Central Maine Medical Center Current Accepting new patients

Locations

100 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3445

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

76 High St
Fl 1
Lewiston, ME 04240
Phone (207) 795-2800

100 Campus Ave
Ste 208
Lewiston, ME 04240
Phone (207) 777-8974

106 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3383

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1497392500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8950",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS AVE STES A&B",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROUCHE",
        "first_name": "SAMUEL",
        "middle_name": "C",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC18122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.