Individual provider Active NPI

Laura G Stevens, LCSW

  • Social Worker
  • Newport, ME
National Provider Identifier
1720029945
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LC3445 Issued in ME
Practice address
442 Moosehead TRL
Newport, ME 04953-4004
Phone
(207) 368-2072
Fax
(207) 368-5290
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LC3445 ME Primary

Addresses

Primary practice location

442 Moosehead TRL
Newport, ME 04953-4004

Mailing address

29 Franklin St
Bangor, ME 04401-4909
Phone (207) 942-3816

Other identifiers 2

IdentifierTypeStateIssuer
P00298607OtherMERR MEDICARE PROVIDER #
098304OtherMEANTHEM LEGACY NUMBER

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
I20050615000134 ME Practitioner - Clinical Social Worker 2062456684 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Occupational Exchange, Inc Social Worker CurrentSince Aug 26, 1997 Accepting new patients

Locations

444 Stillwater Ave
Ste 210
Bangor, ME 04401
Phone (207) 907-4311

9 Main St
Lincoln, ME 04457
Phone (207) 521-8911

9 Main St
Ste A
Lincoln, ME 04457

442 Moosehead Trl
Newport, ME 04953
Phone (207) 368-2072

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Occupational Exchange Inc 4 clinicians

Practice addresses (Care Compare)

9 Main St
Suite a
Lincoln, ME 04457-1216
Phone (207) 942-3816

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720029945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 FRANKLIN ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014909",
            "telephone_number": "207-942-3816",
            "fax_number": "207-561-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 MOOSEHEAD TRL",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049534004",
            "telephone_number": "207-368-2072",
            "fax_number": "207-368-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "LAURA",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC3445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER #",
            "identifier": "P00298607",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM LEGACY NUMBER",
            "identifier": "098304",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, ME

Sources for this page

Verify at the official NPI Registry.