Individual provider Active NPI

Martha Marchut, LCSW

  • Clinical Social Worker
  • Cushing, ME
National Provider Identifier
1831288661
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC7394 Issued in ME
Practice address
640 Pleasant Point Rd
Cushing, ME 04563-3425
Phone
(207) 354-0714
NPI assigned
Oct 12, 2006
Last updated
Feb 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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 LC7394 ME Primary

Addresses

Primary practice location

640 Pleasant Point Rd
Cushing, ME 04563-3425

Mailing address

640 Pleasant Point Rd
Cushing, ME 04563-3425
Phone (207) 354-0714

Other identifiers 1

IdentifierTypeStateIssuer
280300099MedicaidME

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
I20080607000099 ME Practitioner - Clinical Social Worker 3678643384 Practice locations: Rockland, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 Main St
Suite 204
Rockland, ME 04841-3388
Phone (207) 975-0714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC7394MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Coast Mental Health Center PastSince Dec 1, 2008 Accepting new patients

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, 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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1831288661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 PLEASANT POINT RD",
            "city": "CUSHING",
            "state": "ME",
            "postal_code": "045633425",
            "telephone_number": "207-354-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 PLEASANT POINT RD",
            "city": "CUSHING",
            "state": "ME",
            "postal_code": "045633425",
            "telephone_number": "207-354-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHUT",
        "first_name": "MARTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC7394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280300099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cushing, ME

Sources for this page

Verify at the official NPI Registry.