Individual provider Active NPI

Stacie A Murphy, LCSW

  • Clinical Social Worker
  • Madawaska, ME
National Provider Identifier
1871610485
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC12049 Issued in ME
Practice address
88 Fox St
Suite 101
Madawaska, ME 04756-1352
Phone
(207) 728-6341
Fax
(207) 728-7762
NPI assigned
Mar 26, 2007
Last updated
Feb 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 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 LC12049 ME Primary

Addresses

Primary practice location

88 Fox St
Suite 101
Madawaska, ME 04756-1352

Mailing address

88 Fox St
Suite 101
Madawaska, ME 04756-1352
Phone (207) 728-6341

Other identifiers 1

IdentifierTypeStateIssuer
1871610485MedicaidME

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
I20130314000082 ME Practitioner - Clinical Social Worker 4284879594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Maine Medical CenterGroup PAC ID 8426952987, 41 clinicians

Practice addresses (Care Compare)

194 E Main St
Fort Kent, ME 04743-1428
Phone (207) 834-3155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC12049MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetser CurrentSince Mar 13, 2013 Accepting new patients
Northern Maine Medical Center CurrentSince Feb 8, 2025 Accepting new patients
Northern Maine Medical Center CurrentSince Feb 8, 2025 Accepting new patients
Aroostook Mental Health Services, Inc. Clinical PastSince Nov 12, 1999 Accepting new patients

Locations

28 Sweetser Dr
Belfast, ME 04915
Phone (207) 284-5981

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

460 Main St
Ste 104
Madawaska, ME 04756
Phone (207) 728-6359

460 Main St
Ste 201
Madawaska, ME 04756
Phone (207) 728-7300

50 Moody St
Saco, ME 04072
Phone (207) 284-5981

Organizations & group practices 4

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1871610485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 FOX ST",
            "address_2": "SUITE 101",
            "city": "MADAWASKA",
            "state": "ME",
            "postal_code": "047561352",
            "telephone_number": "207-728-6341",
            "fax_number": "207-728-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 FOX ST",
            "address_2": "SUITE 101",
            "city": "MADAWASKA",
            "state": "ME",
            "postal_code": "047561352",
            "telephone_number": "207-728-6341",
            "fax_number": "207-728-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "STACIE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC12049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871610485",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madawaska, ME

Sources for this page

Verify at the official NPI Registry.