Individual provider Active NPI

Susan McCaw, LCPC, CADC

  • Mental Health Counselor
  • Palmyra, ME
National Provider Identifier
1831589688
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC4926 Issued in ME
Practice address
55 Spring Hill Rd
Palmyra, ME 04965-3625
Phone
(207) 341-0028
Fax
(207) 218-0224
NPI assigned
Feb 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC4926 ME Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC5746 ME

Addresses

Primary practice location

55 Spring Hill Rd
Palmyra, ME 04965-3625

Mailing address

55 Spring Hill Rd
Palmyra, ME 04965-3625
Phone (207) 341-0028

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
I20251008001571 ME Practitioner - Mental Health Counselor 0840797643 Practice locations: Palmyra, ME

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 Spring Hill Rd
Palmyra, ME 04965-3625
Phone (207) 341-0028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CAC5746MEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Susan McCaw PastSince Feb 11, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1831589688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SPRING HILL RD",
            "city": "PALMYRA",
            "state": "ME",
            "postal_code": "049653625",
            "telephone_number": "207-341-0028",
            "fax_number": "207-218-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SPRING HILL RD",
            "city": "PALMYRA",
            "state": "ME",
            "postal_code": "049653625",
            "telephone_number": "207-341-0028",
            "fax_number": "207-218-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAW",
        "first_name": "SUSAN",
        "credential": "LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2024-02-09",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC4926",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC5746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, ME

Sources for this page

Verify at the official NPI Registry.