Individual provider Active NPI

Marsha B Pilz, LCSW

  • Clinical Social Worker
  • Southwest Harbor, ME
National Provider Identifier
1861421182
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC7182 Issued in ME
Practice address
19 Clark Point Rd
Southwest Harbor, ME 04679-4415
Phone
(207) 244-3189
NPI assigned
Jun 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LC7182 ME Primary

Addresses

Primary practice location

19 Clark Point Rd
Southwest Harbor, ME 04679-4415

Mailing address

95 Freeman Ridge Rd
P.O. Box 723
Southwest Harbor, ME 04679-4235
Phone (207) 244-3189

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
I20090928000504 ME Practitioner - Clinical Social Worker 0042366353 Practice locations: Ellsworth, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Perelman School of Med at the University of Pennsylvania, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 School St
Ellsworth, ME 04605-1932
Phone (207) 244-3189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC7182MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Possibilities Counseling Services, Inc. Past 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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861421182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 FREEMAN RIDGE RD",
            "address_2": "P.O. BOX 723",
            "city": "SOUTHWEST HARBOR",
            "state": "ME",
            "postal_code": "046794235",
            "telephone_number": "207-244-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CLARK POINT RD",
            "city": "SOUTHWEST HARBOR",
            "state": "ME",
            "postal_code": "046794415",
            "telephone_number": "207-244-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILZ",
        "first_name": "MARSHA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC7182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southwest Harbor, ME

Sources for this page

Verify at the official NPI Registry.