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RUDOLPH SKOWRONSKI LCSW LLC
NPI 1265506604
Social Worker - Clinical in Saco, ME

Active since November 18, 2006
199 MAIN ST FL 3, SACO, ME 04072(207) 776-8245(207) 571-3263 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rudolph Skowronski Lcsw Llc NPPES

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

RUDOLPH SKOWRONSKI LCSW LLC (NPI 1265506604) is a healthcare organization registered as a clinical in Saco, Maine and active in the NPI registry since November 2006. The organization lists Rudolph Albert Skowronski, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1265506604
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameRUDOLPH SKOWRONSKI LCSW LLC
Location Address199 MAIN ST FL 3Saco, ME 04072-1508
Mailing Address276 Back RdAlfred, ME 04002-3289 · (207) 776-8245 · Fax (207) 571-3263
Phone(207) 776-8245
Fax(207) 571-3263
Organization SubpartNo
Authorized OfficialRudolph Albert SkowronskiPsychotherapist · (207) 571-3008
Enumeration DateNovember 18, 2006
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1265506604 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 · LC6729
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.
199 MAIN ST FL 3, Saco, ME 04072
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rudolph Skowronski Lcsw Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMaineEnrollment IDO20081016000050Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rudolph Skowronski Lcsw LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rudolph Skowronski, LCSW
Clinical Social Worker
NPI 1386680858
199 MAIN ST FL 3
Saco, ME 04072
(207) 776-8245
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Rudolph Skowronski Lcsw LLC's NPI number?

The NPI number for Rudolph Skowronski Lcsw LLC is 1265506604. It was assigned to this organization in the NPPES registry on November 18, 2006.

Where is Rudolph Skowronski Lcsw LLC located?

Rudolph Skowronski Lcsw LLC is located at 199 Main St Fl 3, Saco, ME 04072. The listed phone number is (207) 776-8245.

What is Rudolph Skowronski Lcsw LLC's specialty?

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

Is Rudolph Skowronski Lcsw LLC enrolled in Medicare?

Yes. Rudolph Skowronski Lcsw LLC is registered in the Medicare PECOS enrollment system.

When is Rudolph Skowronski Lcsw LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maine, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Rudolph Skowronski Lcsw LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Rudolph Skowronski Lcsw LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rudolph Skowronski Lcsw LLC was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.