Individual provider Active NPI

Dedra Lynn Ragot, LCSW

  • Clinical Social Worker
  • Harrington, ME
National Provider Identifier
1528301249
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC13521 Issued in ME
Practice address
57 E Main St
Harrington, ME 04643-3041
Phone
(207) 483-1300
Fax
(207) 483-1302
NPI assigned
Apr 1, 2013
Last updated
Apr 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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 LC13521 ME Primary

Addresses

Primary practice location

57 E Main St
Harrington, ME 04643-3041

Mailing address

57 E Main St
Harrington, ME 04643-3041
Phone (207) 483-1300

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
I20140618002154 ME Practitioner - Clinical Social Worker 6800010539 Practice locations: Blue Hill, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

126 Pleasant St
Blue Hill, ME 04614-5943

6 Mines Rd
Blue Hill, ME 04614-6408
Phone (207) 460-2941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy M Plouffe, LLC Clinical PastSince Jun 19, 2016 Accepting new patients

Organizations & group practices 1

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1528301249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 E MAIN ST",
            "city": "HARRINGTON",
            "state": "ME",
            "postal_code": "046433041",
            "telephone_number": "207-483-1300",
            "fax_number": "207-483-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 E MAIN ST",
            "city": "HARRINGTON",
            "state": "ME",
            "postal_code": "046433041",
            "telephone_number": "207-483-1300",
            "fax_number": "207-483-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGOT",
        "first_name": "DEDRA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC13521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrington, ME

Sources for this page

Verify at the official NPI Registry.