Individual provider Active NPI

Sherrie L St. Thomas-Simoneau, LCSW

  • Clinical Social Worker
  • Standish, ME
National Provider Identifier
1538248802
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC10623 Issued in ME
Practice address
700 Saco Rd
Standish, ME 04084-6240
Phone
(207) 648-7829
Fax
(207) 929-9147
NPI assigned
Nov 6, 2006
Last updated
Jun 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 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 LC10623 ME Primary

Addresses

Primary practice location

700 Saco Rd
Standish, ME 04084-6240

Mailing address

PO Box 1150
Auburn, ME 04211-1150
Phone (207) 333-3278

Other identifiers 3

IdentifierTypeStateIssuer
RB9OtherMEANTHEM
431809199MedicaidME
2993OtherMECERT. ALCOHOL AND D

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
I20080927000159 ME Practitioner - Clinical Social Worker 1850468166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Affiliates Maine, LLCGroup PAC ID 1951594076, 169 clinicians

Practice addresses (Care Compare)

306 Rodman Rd
Auburn, ME 04210-3830
Phone (207) 333-3278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Affiliates Maine, LLC CurrentSince Dec 5, 2010 Accepting new patients
Possibilities Counseling Services, Inc. Past Accepting new patients

Locations

306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278

Organizations & group practices 2

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1538248802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042111150",
            "telephone_number": "207-333-3278",
            "fax_number": "207-333-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SACO RD",
            "city": "STANDISH",
            "state": "ME",
            "postal_code": "040846240",
            "telephone_number": "207-648-7829",
            "fax_number": "207-929-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. THOMAS-SIMONEAU",
        "first_name": "SHERRIE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC10623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "RB9",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431809199",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERT. ALCOHOL AND D",
            "identifier": "2993",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Standish, ME

Sources for this page

Verify at the official NPI Registry.