Glenn Morazzini, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC1213 Issued in ME

Practice address

251 Main St
Yarmouth, ME 04096-4705

Phone

(207) 846-4880

NPI assigned

Apr 17, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 20, 2021 through Jan 20, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Heart Works LLC

  • Clinical Social Worker
  • Portland, ME
  • NPI 1477196996
  NPD (past)
• Possibilities Counseling Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Auburn, ME
  • NPI 1235209750
  NPD (past)
• The Maine Children's Home for Little Wanderers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterville, ME
  • NPI 1275682882
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1619931482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 MAIN ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040964705",
            "telephone_number": "207-846-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MAIN ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040964705",
            "telephone_number": "207-846-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAZZINI",
        "first_name": "GLENN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC1213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432126199",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek Miller, PHARMD
• Jessica Miller
• Carolyn Sue Millhouse, FNP
• Amanda Mitchell, LCPC-C
• Kathleen C Montegut, APRN, CS
• Robert Morrison
• Lisa B Murray, LCPCC
• Martha Nangle, MS, CCC-SLP
• Sam M Nawfel, D.O.
• New Roots Nutrition Counseling, LLC (New Roots Healing Center)

• Clinical Social Worker in Yarmouth, ME
• Providers in Yarmouth, 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 Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.