Katrina L Estes
Individual provider Active NPI Clinical Social Worker · Biddeford, ME
NPI 1760146484 · NPPES record last updated Oct 28, 2021
Key facts
- NPI
- 1760146484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- MC18419 (ME)
- Practice address
- 419 Alfred St
Biddeford, ME 04005-3747 - Phone
- (207) 494-8010
- Fax
- (207) 494-8471
- NPI assigned
- Oct 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
665 Saco St
Westbrook, ME 04092-2023
Phone (207) 727-2198
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 |
|---|---|---|---|---|
| I20251117000348 | ME | Practitioner - Clinical Social Worker | 2769973965 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAC7467 | ME | MD | Counselor |
| MC18419 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caterpillar to Butterfly LLC | Clinical | Current |
Accepting new patients |
| Alternative Wellness Services | Current |
Accepting new patients | |
| Primecare Physician Associates | Past |
Accepting new patients |
Locations
419 Alfred St
Biddeford, ME 04005
Phone (207) 282-9080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CAC7467 | ME | |
| Clinical Social Worker | 1041C0700X | MC18419 | ME | Yes |
Addresses
Primary practice location
419 Alfred St
Biddeford, ME 04005-3747
Mailing address
419 Alfred St
Biddeford, ME 04005-3747
Phone (207) 494-8010
Other providers in Biddeford, ME
- Allison J Engelhardt
- Equilibrium Balancing Health LLC
- Russell Irving Carl Erickson IV
- Erin Pontbriand Counseling LLC
- Espoir de Vie Support Solutions LLC
- Alicia J Faller
- Elizabeth Jane Farah
- Stacy Marissa Farese
- Scott A Farrell
- Saeeda Fatima
All providers in Biddeford, 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 Oct 28, 2021. 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.