Individual provider Active NPI

Robin Elizabeth Deatrich, LMSW., CH

  • Clinical Social Worker
  • Lisbon, ME
National Provider Identifier
1790061190
Registry record updated Oct 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LM12840 Issued in ME
Practice address
22 Farwell St
Lisbon, ME 04250-6824
Phone
(207) 353-8118
NPI assigned
Oct 30, 2011
Last updated
Oct 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2011

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 LM12840 ME Primary

Addresses

Primary practice location

22 Farwell St
Lisbon, ME 04250-6824

Mailing address

88 Littlefield Rd
Lisbon, ME 04250-6009
Phone (207) 740-7477

Other names 1

  • Mrs. Robin Elizabeth Abramowith Other name

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
I20150105001623 ME Practitioner - Clinical Social Worker 0446573133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Affiliates Maine, LLCGroup PAC ID 1951594076, 169 clinicians

Practice addresses (Care Compare)

306 Rodman Rd
Auburn, ME 04210-3830
Phone (207) 333-3278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LM12840MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Affiliates Maine, LLC CurrentSince Oct 22, 2014 Accepting new patients
Farwell Associates PastSince Jan 22, 2010 Accepting new patients

Locations

306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278

Organizations & group practices 2

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": "1319932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319932800000",
    "number": "1790061190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 LITTLEFIELD RD",
            "city": "LISBON",
            "state": "ME",
            "postal_code": "042506009",
            "telephone_number": "207-740-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FARWELL ST",
            "city": "LISBON",
            "state": "ME",
            "postal_code": "042506824",
            "telephone_number": "207-353-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEATRICH",
        "first_name": "ROBIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LMSW., CH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-30",
        "last_updated": "2011-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LM12840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "ABRAMOWITH",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lisbon, ME

Sources for this page

Verify at the official NPI Registry.