Individual provider Active NPI

Katherine Margarones, LCSW

  • Clinical Social Worker
  • Saco, ME
National Provider Identifier
1710995584
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC11287 Issued in ME
Practice address
288 Flag Pond Rd
Saco, ME 04072-9636
Phone
(207) 423-5554
Fax
(207) 772-8505
NPI assigned
Aug 4, 2006
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 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 LC11287 ME Primary

Addresses

Primary practice location

288 Flag Pond Rd
Saco, ME 04072-9636

Mailing address

288 Flag Pond Rd
Saco, ME 04072-9636
Phone (207) 423-5554

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
I20071003000048 ME Practitioner - Clinical Social Worker 3476648643 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC11287MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Possibilities Counseling Services, Inc. Past Accepting new patients
Maine Behavioral Healthcare Past Accepting new patients

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, 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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1710995584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 FLAG POND RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040729636",
            "telephone_number": "207-423-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 FLAG POND RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040729636",
            "telephone_number": "207-423-5554",
            "fax_number": "207-772-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGARONES",
        "first_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

Verify at the official NPI Registry.