Individual provider Active NPI

Stephen N. Craig, LCSW

  • Clinical Social Worker
  • Portland, ME
National Provider Identifier
1982079794
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC19829 Issued in ME
Practice address
MMP Internal Medicine and Pediatrics
22 Bramhall Street
Portland, ME 04102
Phone
(207) 662-2911
NPI assigned
Dec 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MC15650 ME
Clinical Social Worker 1041C0700X LC19829 ME Primary

Addresses

Primary practice location

MMP Internal Medicine and Pediatrics
22 Bramhall Street
Portland, ME 04102

Mailing address

MMP Internal Medicine and Pediatrics
22 Bramhall Street
Portland, ME 04102
Phone (207) 662-2911

Other practice location 1

2 Springbrook Dr
Biddeford, ME 04005-9443
Phone (207) 282-1500

Other practice location 2

1 Monument Way Ste 221
Portland, ME 04101-4078
Phone (207) 807-6619

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
I20221121001847 ME Practitioner - Clinical Social Worker 0941678015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC15650MEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince Oct 17, 2022 Accepting new patients
Mainehealth CurrentSince Oct 17, 2022 Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners CurrentSince Oct 17, 2022 Accepting new patients

Locations

2 Springbrook Dr
Biddeford, ME 04005
Phone (207) 252-1500

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

78 Atlantic Pl
South Portland, ME 04106
Phone (207) 661-6654

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

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 and National Provider Directory roles.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1982079794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MMP INTERNAL MEDICINE AND PEDIATRICS",
            "address_2": "22 BRAMHALL STREET",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-662-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMP INTERNAL MEDICINE AND PEDIATRICS",
            "address_2": "22 BRAMHALL STREET",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-662-2911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Springbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059443",
            "country_code": "US",
            "telephone_number": "207-282-1500",
            "fax_number": "207-282-2581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Monument Way Ste 221",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041014078",
            "country_code": "US",
            "telephone_number": "207-807-6619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "STEPHEN",
        "middle_name": "N.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-04",
        "last_updated": "2022-11-02",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC15650",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC19829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.