Individual provider Active NPI

Renee Deschaine, LCSW

  • Clinical Social Worker
  • Fort Kent, ME
National Provider Identifier
1689070146
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MC17322 Issued in ME
Practice address
194 E Main St
Fort Kent, ME 04743-1428
Phone
(207) 834-3155
NPI assigned
Nov 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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 MC17322 ME Primary

Addresses

Primary practice location

194 E Main St
Fort Kent, ME 04743-1428

Mailing address

31 Market St
Fort Kent, ME 04743-1418
Phone (207) 834-5430

Other practice location 1

31 Market St
Fort Kent, ME 04743
Phone (207) 834-5430

Other identifiers 1

IdentifierTypeStateIssuer
1689070146MedicaidME

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
I20211216001455 ME Practitioner - Clinical Social Worker 2668863150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Maine Medical CenterGroup PAC ID 8426952987, 41 clinicians

Practice addresses (Care Compare)

194 E Main St
Fort Kent, ME 04743-1428
Phone (207) 834-3155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC17322MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Maine Medical Center CurrentSince Apr 30, 2025 Accepting new patients
Northern Maine Medical Center CurrentSince Apr 30, 2025 Accepting new patients
Carlos G. Otis Health Care Center Inc. Past Accepting new patients
Northern Maine Medical Center Past Accepting new patients
Life by Design PastSince Dec 7, 2021 Accepting new patients

Locations

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

460 Main St
Ste 201
Madawaska, ME 04756
Phone (207) 728-7300

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7722ef4c-2455-48ad-a4fa-814cb1ac7718/

Organizations & group practices 5

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": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1689070146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MARKET ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431418",
            "telephone_number": "207-834-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431428",
            "telephone_number": "207-834-3155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Market St",
            "address_purpose": "LOCATION",
            "city": "Fort Kent",
            "state": "ME",
            "postal_code": "04743",
            "country_code": "US",
            "telephone_number": "207-834-5430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESCHAINE",
        "first_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC17322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689070146",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Kent, ME

Sources for this page

Verify at the official NPI Registry.