Lisa Jane Carbone, LCSW
Individual provider Active NPI Clinical Social Worker · Madison, ME
NPI 1699795369 · NPPES record last updated Mar 7, 2014
Key facts
- NPI
- 1699795369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC5494 (ME)
- Practice address
- 8 South Main St
Madison, ME 04950 - Phone
- (207) 696-3992
- Fax
- (207) 696-3974
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
19 Saint Andrews LN
Boothbay Harbor, ME 04538-1732
Phone (207) 633-7820
22 Bramhall St
Portland, ME 04102-3134
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
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 |
|---|---|---|---|---|
| I20061226000108 | ME | Practitioner - Clinical Social Worker | 3779583752 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Resilience, Inc | Past |
Accepting new patients | |
| The Maine Children'S Home for Little Wanderers | Past |
Accepting new patients |
Locations
35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC5494 | ME | Yes |
Addresses
Primary practice location
8 South Main St
Madison, ME 04950
Mailing address
8 S Main St
Madison, ME 04950-4501
Phone (207) 696-3992
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431824699 | Medicaid | ME | |
| 1699795369 | Medicaid | ME |
NPI Registry JSON
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1699795369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 S MAIN ST",
"city": "MADISON",
"state": "ME",
"postal_code": "049504501",
"telephone_number": "207-696-3992",
"fax_number": "207-696-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 SOUTH MAIN ST",
"city": "MADISON",
"state": "ME",
"postal_code": "04950",
"telephone_number": "207-696-3992",
"fax_number": "207-696-3974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBONE",
"first_name": "LISA",
"middle_name": "JANE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC5494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431824699",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699795369",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, ME
- Bella Point Inc
- Amy Mae Bertone
- William Wallace Bookheim
- Kelly Bragg
- Larry R Caldwell
- Tammy Lynn Carrier
- Madison Willson Chadbourne
- Fiona Champagne
- Catherine Colby
- Johanna Davis
All providers in Madison, 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 Mar 7, 2014. 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.