MISS ANGIE M. SHAHMORADI LCSW
NPI 1164567905
Social Worker - Clinical in Fairfield, ME

Active since February 20, 2007PECOS Enrolled
PO BOX 358, FAIRFIELD, ME 04937(207) 453-4708(207) 453-7064 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miss Angie M. Shahmoradi Lcsw NPPES

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

MISS ANGIE M. SHAHMORADI LCSW (NPI 1164567905) is an individual clinical provider in Fairfield, Maine, licensed in Maine (LC17434) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1164567905
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS ANGIE M. SHAHMORADICredential: LCSW
Location AddressPO BOX 358Fairfield, ME 04937-0358
Mailing AddressPo Box 358Fairfield, ME 04937-0358 · (207) 453-4708 · Fax (207) 453-7064
Fax(207) 453-7064
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 20, 2007
Last NPPES UpdateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1164567905 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 · LC17434
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.
PO BOX 358, Fairfield, ME 04937

Other Names 1

Former Name (1)Miss Angie M. Collins

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Angie M. Shahmoradi Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648411371
PECOS Enrollment IDI20181030001378
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 Angie Shahmoradi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

6.2 mi
Community/Behavioral Health
1604 BENTON AVE
Benton, ME 04901
  • Reassigned Medicare billing, Maine enrollment
  • 3 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 04937 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.

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 Angie Shahmoradi's NPI number?

The NPI number for Angie Shahmoradi is 1164567905. It was assigned to this individual provider in the NPPES registry on February 20, 2007. The provider is also known as Miss Angie M. Collins.

Where is Angie Shahmoradi located?

Angie Shahmoradi practices at PO Box 358, Fairfield, ME 04937. The listed phone number is (207) 453-4708.

What is Angie Shahmoradi's specialty?

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

Is Angie Shahmoradi enrolled in Medicare?

Yes. Angie Shahmoradi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angie Shahmoradi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angie Shahmoradi reassigns Medicare benefits to Jmpb Inc. (Benton, 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 Angie Shahmoradi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angie Shahmoradi accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Angie Shahmoradi 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 Angie Shahmoradi was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.