Individual provider Active NPI

Elizabeth Anne Duncombe, LCSW

  • Clinical Social Worker
  • Deer Isle, ME
National Provider Identifier
1841437340
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC11622 Issued in ME
Practice address
56 Reach Rd
Deer Isle, ME 04627-3344
Phone
(808) 896-1399
NPI assigned
Jan 21, 2009
Last updated
Jul 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3747 HI
Clinical Social Worker 1041C0700X LC11622 ME Primary
Clinical Social Worker 1041C0700X 12726 FL

Addresses

Primary practice location

56 Reach Rd
Deer Isle, ME 04627-3344

Mailing address

PO Box 551
Deer Isle, ME 04627-0551
Phone (808) 896-1399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090508000556 ME Practitioner - Clinical Social Worker 1951459544 Practice locations: Blue Hill, ME; Ellsworth, ME
I20170815003424 HI Practitioner - Clinical Social Worker 1951459544 Practice locations: Hilo, HI; Kamuela, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3747HIMDClinical Social Worker
LC11622MEMDClinical Social Worker
12726FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Possibilities Counseling Services, Inc. Past Accepting new patients
City of Ellsworth PastSince May 14, 2023 Accepting new patients

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": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1841437340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551",
            "city": "DEER ISLE",
            "state": "ME",
            "postal_code": "046270551",
            "telephone_number": "808-896-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 REACH RD",
            "city": "DEER ISLE",
            "state": "ME",
            "postal_code": "046273344",
            "telephone_number": "808-896-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCOMBE",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3747",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11622",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "12726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Isle, ME

Sources for this page

Verify at the official NPI Registry.