Individual provider Active NPI

Jonathan Kevin Nicholas Negoescu, LCSW

  • Clinical Social Worker
  • Saco, ME
National Provider Identifier
1851429575
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC10242 Issued in ME
Practice address
209 Main St
Suite 302
Saco, ME 04072-1566
Phone
(207) 571-9923
Fax
(207) 571-9927
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 LC10242 ME Primary

Addresses

Primary practice location

209 Main St
Suite 302
Saco, ME 04072-1566

Mailing address

51 Portland Ave
Unit 6
Old Orchard Beach, ME 04064-1500
Phone (207) 934-0460

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
I20090520000346 ME Practitioner - Clinical Social Worker 2062561160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of New England, College of Osteo Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oceanside Community ServicesGroup PAC ID 6406980903, 4 clinicians

Practice addresses (Care Compare)

22 W Cole Rd
Suite 103
Biddeford, ME 04005-9431
Phone (207) 571-9923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanside Community Services CurrentSince Feb 19, 2010 Accepting new patients
Oceanside Community Services Past Accepting new patients
Oceanside Community Services Past Accepting new patients

Locations

22 W Cole Rd
Ste 103
Biddeford, ME 04005
Phone (207) 571-9923

Organizations & group practices 3

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1851429575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PORTLAND AVE",
            "address_2": "UNIT 6",
            "city": "OLD ORCHARD BEACH",
            "state": "ME",
            "postal_code": "040641500",
            "telephone_number": "207-934-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MAIN ST",
            "address_2": "SUITE 302",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721566",
            "telephone_number": "207-571-9923",
            "fax_number": "207-571-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGOESCU",
        "first_name": "JONATHAN",
        "middle_name": "KEVIN NICHOLAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC10242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

Verify at the official NPI Registry.