Emilie Disney, LCSW
Individual provider Active NPI Clinical Social Worker · Franklin, ME
NPI 1689400616 · NPPES record last updated Sep 9, 2024
Key facts
- NPI
- 1689400616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC23470 (ME)
- Practice address
- 80 Hog Bay Rd
Franklin, ME 04634-3149 - Phone
- (207) 479-4076
- NPI assigned
- Sep 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mental Health Specialty Group PA
Practice addresses (Care Compare)
400 Congress St
Portland, ME 04101-3515
Phone (323) 205-7088
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250415002827 | ME | Practitioner - Clinical Social Worker | 4486179181 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current |
Accepting new patients |
Locations
400 Congress St
Portland, ME 04101
Phone (678) 508-1130
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC23470 | ME | Yes |
Addresses
Primary practice location
80 Hog Bay Rd
Franklin, ME 04634-3149
Mailing address
80 Hog Bay Rd
Franklin, ME 04634-3149
Phone (207) 479-4076
Other providers in Franklin, ME
All providers in Franklin, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.