Kathleen Garvey McDonough, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC6538 Issued in ME

Practice address

15 Oak St
Springvale, ME 04083-1926

Phone

(207) 432-2539

NPI assigned

Aug 9, 2006

Last updated

Aug 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

York County Community Action CorpGroup PAC ID 5496701153, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.mcdonough.p1@direct.nassonhealthcare.nextgenshare.com

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.

• York County Community Action Corp

  dba York County Community Health Care

  • Federally Qualified Health Center (FQHC)
  • Springvale, ME
  • NPI 1497923916
  Medicare reassignment Care Compare group NPD
• York County Community Action Corp

  • Federally Qualified Health Center (FQHC)
  • Biddeford, ME
  • NPI 1265026249
  NPD
• Maine Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Biddeford, ME
  • NPI 1891733309
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1528078805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 POOL DR",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040906415",
            "telephone_number": "207-351-0057",
            "fax_number": "207-646-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OAK ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831926",
            "telephone_number": "207-432-2539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Pool Dr",
            "address_purpose": "LOCATION",
            "city": "Wells",
            "state": "ME",
            "postal_code": "040906415",
            "country_code": "US",
            "telephone_number": "207-432-2539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "KATHLEEN",
        "middle_name": "GARVEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282750099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susanne Taylor Mallon, M.A.
• Manor at Phillipstown Place Inc
• Amy Louise Marcotte, LCSW
• Cindy Jean Mathieson, LCPC
• Christine Elizabeth McAuley, M.S. CCC-SLP
• Colleen McDougal, LSW
• Gary D. McNeill, CNS
• Christine McRobbie, PA-C
• Robert McVety
• Dorothy Mele, LCPC

• Clinical Social Worker in Springvale, ME
• Providers in Springvale, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.