Individual provider Active NPI

Merry Bragg, LCSW

  • Clinical Social Worker
  • Caribou, ME
National Provider Identifier
1699188748
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC17479 Issued in ME
Practice address
27 Birdseye Ave
Caribou, ME 04736-1620
Phone
(207) 498-9662
NPI assigned
Jun 6, 2014
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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 LC17479 ME Primary

Addresses

Primary practice location

27 Birdseye Ave
Caribou, ME 04736-1620

Mailing address

40 Coolidge Ave
Caribou, ME 04736-2436

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
I20190201002384 ME Practitioner - Clinical Social Worker 4587901293 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Armco Ave
Caribou, ME 04736-1602
Phone (207) 498-9662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC17479MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Acadia Hospital Corp CurrentSince Jun 12, 2022 Accepting new patients
Mainegeneral Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Aroostook Mental Health Services, Inc. Clinical CurrentSince Dec 19, 2018 Accepting new patients
Inner Balance, LLC Clinical CurrentSince Jan 15, 2024 Accepting new patients
Mainegeneral Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Eastern Maine Medical Center CurrentSince May 24, 2023 Accepting new patients
Eastern Maine Medical Center CurrentSince May 24, 2023 Accepting new patients
Pines Health Services Clinical CurrentSince Aug 8, 2020 Accepting new patients
Pines Health Services CurrentSince Aug 8, 2020 Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

489 State St
Bangor, ME 04401
Phone (207) 973-8837

163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320

2 Armco Ave
Caribou, ME 04736
Phone (207) 493-1700

27 Birdseye Ave
Caribou, ME 04736
Phone (207) 492-1653

43 Hatch Dr
Ste 310
Caribou, ME 04736
Phone (207) 493-3361

74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350

180 Academy St
Ste 3
Presque Isle, ME 04769
Phone (207) 554-2352

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Organizations & group practices 9

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": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1699188748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 COOLIDGE AVE",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BIRDSEYE AVE",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047361620",
            "telephone_number": "207-498-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "MERRY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

Verify at the official NPI Registry.