Individual provider Active NPI

Justin James Umel, LCSW

  • Clinical Social Worker
  • Bangor, ME
National Provider Identifier
1821446485
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC14054 Issued in ME
Practice address
45 Maple St
Bangor, ME 04401-5406
Phone
(207) 944-7116
NPI assigned
May 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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 LC14054 ME Primary

Addresses

Primary practice location

45 Maple St
Bangor, ME 04401-5406

Mailing address

550 Hammond St
Bangor, ME 04401-4560
Phone (207) 561-9496

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
I20190828003488 ME Practitioner - Clinical Social Worker 4587992524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Higher Ground Services LLCGroup PAC ID 0345381836, 7 clinicians

Practice addresses (Care Compare)

235 Ctr St
Brewer, ME 04412-1961
Phone (207) 561-9496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC14054MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Higher Ground Services LLC CurrentSince Aug 1, 2019 Accepting new patients
McKay Counseling PLLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

235 Center St
Brewer, ME 04412
Phone (207) 299-5157

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1821446485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 HAMMOND ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014560",
            "telephone_number": "207-561-9496",
            "fax_number": "207-561-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MAPLE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015406",
            "telephone_number": "207-944-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMEL",
        "first_name": "JUSTIN",
        "middle_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC14054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.