Phillip W Reppond, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS925 Issued in ME

Practice address

38 Plymouth Dr
Saco, ME 04072-1734

Phone

(207) 282-4920

Fax

(707) 598-1038

NPI assigned

Jun 23, 2008

Last updated

Sep 3, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spurwink Services IncorporatedGroup PAC ID 7810026945, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Spurwink Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1760507297
  Medicare reassignment Care Compare group
• Sweetser

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saco, ME
  • NPI 1538122445
  Medicare reassignment

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1861653859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 PLYMOUTH DR",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721734",
            "telephone_number": "207-282-4920",
            "fax_number": "707-598-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 PLYMOUTH DR",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721734",
            "telephone_number": "207-282-4920",
            "fax_number": "707-598-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPPOND",
        "first_name": "PHILLIP",
        "middle_name": "W",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LCS925",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LCS925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432427399",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent Thomas Reiche, DC
• Katherine Reidy, OTD, OTR/L
• Reliance Maine
• Maria Rae Remillard, LCPC-C
• Justine Renadette, OTR/L
• James Reuter, LCSW
• Allison Andrews Rice, LCPC, CCTP, NCC
• Jenalee Rice
• Elizabeth Ellis Richardson, FNP
• Rhoda Jean Richardson, LCSW

• Clinical Social Worker in Saco, ME
• Providers in Saco, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.

Verify at the official NPI Registry.