KATHLEEN G MADORE LCPC, LMSW
NPI 1003984899
Social Worker - Clinical in Rumford, ME

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
49 CONGRESS ST, RUMFORD, ME 04276(207) 364-7981(207) 634-7983 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kathleen G Madore Lcpc, Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN G MADORE LCPC, LMSW (NPI 1003984899) is an individual clinical provider in Rumford, Maine, licensed in Maine (MC4184) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1003984899
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN G MADORECredential: LCPC, LMSW
Location Address49 CONGRESS STRumford, ME 04276-2014
Mailing AddressPo Box 78Mexico, ME 04257-0078 · (207) 369-9350
Fax(207) 634-7983
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateDecember 1, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1003984899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ME · MC4184
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License CC559 (ME)
49 CONGRESS ST, Rumford, ME 04276

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen G Madore Lcpc, Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800311390
PECOS Enrollment IDI20250417000097
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Madore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
306 RODMAN RD
Auburn, ME 04210
  • Reassigned Medicare billing, Maine enrollment
  • 269 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04276 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.26 – $162.77
Typical copayment $0.00 (range $13.31 – $40.69)
Most-billed visit code NA
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
49 CONGRESS ST
RUMFORD, ME 04276
Counselor (Addiction (Substance Use Disorder))
49 CONGRESS ST
RUMFORD, ME 04276
Counselor (Professional)
49 CONGRESS ST
RUMFORD, ME 04276
Counselor (Addiction (Substance Use Disorder))
49 CONGRESS ST
RUMFORD, ME 04276
Counselor (Addiction (Substance Use Disorder))
49 CONGRESS ST
RUMFORD, ME 04276
Social Worker (Clinical)
49 CONGRESS ST
RUMFORD, ME 04276
Social Worker (Clinical)
49 CONGRESS ST
RUMFORD, ME 04276
Counselor (Addiction (Substance Use Disorder))
49 CONGRESS ST
RUMFORD, ME 04276

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Madore's NPI number?

The NPI number for Kathleen Madore is 1003984899. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Kathleen Madore located?

Kathleen Madore practices at 49 Congress St, Rumford, ME 04276. The listed phone number is (207) 364-7981.

What is Kathleen Madore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kathleen Madore enrolled in Medicare?

Yes. Kathleen Madore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kathleen Madore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Madore reassigns Medicare benefits to Health Affiliates Maine, LLC (Auburn, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Madore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Madore accept?

Health plans from Anthem Blue Cross and Blue Shield list Kathleen Madore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Madore was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.