Active NPI
Samuel C Larouche, LMSW-CC
- Social Worker
- Lewiston, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MC18122
- Practice address
- 100 Campus Ave Stes a&B
Lewiston, ME 04240 - NPI assigned
- Dec 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
76 High St
FL 1
Lewiston, ME 04240-7649
Phone (207) 795-2800
Hospital & facility affiliations
- Central Maine Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC18122 | ME | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Clinical Services, Inc | Current | Accepting new patients | |
| Community Clinical Services, Inc. | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Community Clinical Services, Inc. | Current | 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
- 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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Federally Qualified Health Center (FQHC)
- Lewiston, ME
- NPI 1164477568
-
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- Urgent Care Clinic/Center
- Lewiston, ME
- NPI 1063136786
-
- Federally Qualified Health Center (FQHC)
- Lewiston, ME
- NPI 1629851761
-
- Federally Qualified Health Center (FQHC)
- Lewiston, ME
- NPI 1184702821
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.