Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. MIRANDA LEIGH SHEPHERD-BUSSIERE LCSW
NPI 1194559518
Social Worker - Clinical in Kennebunk, ME

Q: What is Miranda Shepherd-bussiere's NPI number?

The NPI number for Miranda Shepherd-bussiere is 1194559518. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Q: What is Miranda Shepherd-bussiere's specialty?

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

Active since August 28, 2024PECOS Enrolled

3 SHAPE DR, KENNEBUNK, ME 04043(207) 467-8930(207) 985-8459 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ms. Miranda Leigh Shepherd-bussiere Lcsw NPPES

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

MS. MIRANDA LEIGH SHEPHERD-BUSSIERE LCSW (NPI 1194559518) is an individual clinical provider in Kennebunk, Maine, licensed in Maine (LC21558) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194559518

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. MIRANDA LEIGH SHEPHERD-BUSSIERECredential: LCSW

Location Address3 SHAPE DRKennebunk, ME 04043-6601

Mailing Address3 Shape DrKennebunk, ME 04043-6601 · (207) 467-8930 · Fax (207) 985-8459

Phone(207) 467-8930

Fax(207) 985-8459

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 28, 2024

Last NPPES UpdateOctober 15, 2026

NPPES CertifiedOctober 15, 2026

✔ NPI 1194559518 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 · LC21558

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.

3 SHAPE DR, Kennebunk, ME 04043

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Secondary Practice Locations 2

Location 125A June St Ste 113Sanford, ME 04073-2642 · Phone (207) 490-7334 · Fax (207) 490-7364

Location 220 Maplewood AveBiddeford, ME 04005-2110 · Phone (207) 282-1596 ext. 6005

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Miranda Leigh Shepherd-bussiere Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971063702

PECOS Enrollment IDI20260901002531

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 Miranda Shepherd-bussiere reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spurwink Services Incorporated

23 mi

Mental Health (Including Community Mental Health Center)

62 ELM ST
Portland, ME 04101

Reassigned Medicare billing, Maine enrollment
162 clinicians in this Medicare group

NPI 1760507297 (207) 773-7811

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 04043 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.

Other Providers at the Same Location NPPES 12

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

HARRIET SANCLEMENTE PNP

Nurse Practitioner (Pediatrics)