PAUL J WELCH LCSW
NPI 1073163432
Social Worker - Clinical in Cape Neddick, ME

Active since September 18, 2019PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
19 ALGONQUIN DR, CAPE NEDDICK, ME 03902(617) 469-3040 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2023, Sep 18, 2019 (2 updates tracked since 2019).

About Paul J Welch Lcsw NPPES

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

PAUL J WELCH LCSW (NPI 1073163432) is an individual clinical provider in Cape Neddick, Maine, licensed in Maine (LC17519) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in York, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1073163432
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePAUL J WELCHCredential: LCSW
Location Address19 ALGONQUIN DRCape Neddick, ME 03902-7916
Mailing Address19 Algonquin DrCape Neddick, ME 03902-7916 · (617) 469-3040
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateSeptember 18, 2019
Last NPPES UpdateNovember 7, 20232 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
NPI 1073163432 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 · LC17519
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.
19 ALGONQUIN DR, Cape Neddick, ME 03902

Secondary Practice Location 1

Location 116 Hospital DrYork, ME 03909-1011 · Phone (207) 351-2118 · Fax (207) 351-2189

Other Identifiers 1

OtherLC17519ME · Maine License

Accepted 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

Paul J Welch 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 ID1052349073
PECOS Enrollment IDI20191007001556
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 03902 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 $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
19 ALGONQUIN DR
CAPE NEDDICK, ME 03902

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 Paul Welch's NPI number?

The NPI number for Paul Welch is 1073163432. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Where is Paul Welch located?

Paul Welch practices at 19 Algonquin Dr, Cape Neddick, ME 03902. The listed phone number is (617) 469-3040.

What is Paul Welch's specialty?

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

Is Paul Welch enrolled in Medicare?

Yes. Paul Welch 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.

What insurance does Paul Welch accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Paul Welch 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 Paul Welch was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.