Individual provider Active NPI

Meagan Foss, LMSW-CC

  • Clinical Social Worker
  • Veazie, ME
National Provider Identifier
1871994657
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MC15007 Issued in ME
Practice address
1510 State St
Veazie, ME 04401-7001
Phone
(207) 404-4596
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230314001479 ME Practitioner - Clinical Social Worker 3072987064

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
MC15007MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Behavioral Healthcare, LLC Current
since Mar 8, 2023
Accepting new patients
Tranquil Moments PA Past Accepting new patients
Life by Design, PA Clinical Past Accepting new patients

Locations

157 Park St
Ste 5
Bangor, ME 04401
Phone (207) 992-0410

157 Park St
Ste 53
Bangor, ME 04401
Phone (207) 992-0410

222 Saint John St
Ste 113
Portland, ME 04102
Phone (207) 772-2440

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MC15007 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

1510 State St
Veazie, ME 04401-7001

Mailing address

PO Box 509
Presque Isle, ME 04769-0509

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2014.

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1871994657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047690509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 STATE ST",
            "city": "VEAZIE",
            "state": "ME",
            "postal_code": "044017001",
            "telephone_number": "207-404-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSS",
        "first_name": "MEAGAN",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC15007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Veazie, ME

Sources for this page

Verify at the official NPI Registry.