SOUTHERN MAINE PSYCHOTHERAPY LLC
NPI 1164299194
Social Worker - Clinical in Scarborough, ME

NPI Status: Active since December 11, 2023

Contact Information

20 MUSSEY RD
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 200-5621

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  • Organization
  • Social Worker
  • Clinical

About SOUTHERN MAINE PSYCHOTHERAPY LLC

This page provides the complete NPI Profile along with additional information for Southern Maine Psychotherapy Llc, a provider established in Scarborough, Maine operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1164299194 assigned on December 2023. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Michael Johnston Lcsw (Provider/owner)

NPI
1164299194
Provider Name
SOUTHERN MAINE PSYCHOTHERAPY LLC
Entity Type
Organization
Location Address
20 MUSSEY RD SCARBOROUGH, ME 04074
Location Phone
(207) 200-5621
Mailing Address
723 SAWYER ST SOUTH PORTLAND, ME 04106
Mailing Phone
(207) 200-5621
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2023
Last Update Date
01-22-2024
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A clinical social worker like Southern Maine Psychotherapy Llc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL JOHNSTON LCSW

Authorized Official Title
PROVIDER/OWNER
Authorized Official Phone
(207) 200-5621

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164299194
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211244918118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 4 + 9 + 1 + 8 + 1 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1164299194 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

GWENDOLYN OGUIN DO

Family Medicine

20 MUSSEY RD
SUITE 2
SCARBOROUGH, ME
ZIP 04074

(207) 885-1333

CLAUDIA WINOGRAD HEISE M.D. PH.D.

Family Medicine

20 MUSSEY RD
STE 2
SCARBOROUGH, ME
ZIP 04074

(207) 535-1880

KRISTEN ALYSE SCOPAZ MD

Family Medicine

20 MUSSEY RD
SCARBOROUGH, ME
ZIP 04074

(207) 885-1333

MICHAEL JOHNSTON LCSW

Social Worker

(Clinical)

20 MUSSEY RD
SCARBOROUGH, ME
ZIP 04074

(207) 838-0512

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164299194, enumerated as an "organization" on December 11, 2023.

The provider is located at 20 MUSSEY RD SCARBOROUGH, ME 04074 and the phone number is (207) 200-5621.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.