SHANE SULLIVAN SIMPSON LCSW - NPI 1053471995 - Social Worker in Lewiston, ME

Q: What is Shane Simpson's NPI number?

The NPI number for Shane Simpson is 1053471995. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Q: What is Shane Simpson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shane Simpson was last updated on May 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Shane Sullivan Simpson Lcsw NPPES

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

SHANE SULLIVAN SIMPSON LCSW (NPI 1053471995) is an individual clinical provider in Lewiston, Maine, licensed in Maine (LC8693) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Augusta, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1053471995

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameSHANE SULLIVAN SIMPSONCredential: LCSW

Location Address230 BARTLETT STLewiston, ME 04240-6578

Mailing Address164 Intervale RdNew Gloucester, ME 04260-3812 · (207) 807-5610

Phone(207) 783-4695

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateDecember 11, 2006

Last NPPES UpdateMay 26, 2026

NPPES CertifiedMay 26, 2026

✔ NPI 1053471995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in ME · LC8693

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.

230 BARTLETT ST, Lewiston, ME 04240

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Secondary Practice Location 1

Location 19 Green StAugusta, ME 04330-7451 · Phone (207) 621-3790

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shane Sullivan Simpson Lcsw 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 ID1456323401

PECOS Enrollment IDI20040810000727

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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 6

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

CYNTHIA K BAILEY

Social Worker (Clinical)