Active NPI
Jonathan Kevin Nicholas Negoescu, LCSW
- Clinical Social Worker
- Saco, ME
National Provider Identifier
1851429575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC10242
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oceanside Community Services | Current | 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.
-
- Community/Behavioral Health Agency
- Biddeford, ME
- NPI 1821324815
-
- Community/Behavioral Health Agency
- Saco, ME
- NPI 1063601060
-
- Community/Behavioral Health Agency
- Saco, ME
- NPI 1952685349
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.