Individual provider Active NPI

Roberta Laurie S. Weber-Taft, LCSW

  • Clinical Social Worker
  • Bath, ME
National Provider Identifier
1679799530
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC7060 Issued in ME
Practice address
1 Front St
Bath, ME 04530-2492
Phone
(207) 841-2808
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2020

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 LC7060 ME Primary

Addresses

Primary practice location

1 Front St
Bath, ME 04530-2492

Mailing address

1 Front St
Bath, ME 04530-2492
Phone (207) 841-2808

Other identifiers 1

IdentifierTypeStateIssuer
338930099MedicaidME

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
I20100517000034 ME Practitioner - Clinical Social Worker 6406984202 Reassigns benefits to 1 organization
Practice locations: Bath, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Front St
Bath, ME 04530-2492
Phone (207) 841-2808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC7060MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetser CurrentSince Mar 3, 2010 Accepting new patients
Small Potatoes, PA Clinical PastSince Apr 17, 2020 Accepting new patients
Corrective Motion Chiropractic and Rehabilitation Inc. PastSince Apr 17, 2020 Accepting new patients

Locations

329 Bath Rd
Brunswick, ME 04011
Phone (207) 373-3012

50 Moody St
Saco, ME 04072
Phone (207) 284-5981

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1679799530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FRONT ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302492",
            "telephone_number": "207-841-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FRONT ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302492",
            "telephone_number": "207-841-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER-TAFT",
        "first_name": "ROBERTA LAURIE",
        "middle_name": "S.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC7060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338930099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, ME

Sources for this page

Verify at the official NPI Registry.