Abigail Pendleton Maycock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC20602 Issued in ME

Practice address

100 Waterman Dr Ste 201
South Portland, ME 04106-2880

Phone

(207) 613-4125

NPI assigned

May 6, 2022

Last updated

May 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Art of Awareness, Inc.

  • Clinical Social Worker
  • South Portland, ME
  • NPI 1891833760
  Medicare reassignment NPD

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1811633589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WATERMAN DR STE 201",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062880",
            "telephone_number": "207-613-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WATERMAN DR STE 201",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062880",
            "telephone_number": "207-613-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYCOCK",
        "first_name": "ABIGAIL",
        "middle_name": "PENDLETON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC20602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Mathieu, LCSW
• Alexandre Buio Mavungo
• Sarah Beth Maxner, LMSW
• Laura Maxwell, RN
• Teresa L May, DO
• Kembria Chantel Mayes
• Mbo Care LLC (Mbo Care)
• Timothy McAteer, MD
• Jennifer Jacques McBride, D.C.
• David Matthews McCain

• Clinical Social Worker in South Portland, ME
• Providers in South Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.