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LORI-ANN GATO LCSW
NPI 1356454573
Social Worker - Clinical in Scarborough, ME

Active since August 15, 2006PECOS Enrolled
81.52/100
CMS Quality Rating
200 PROFESSIONAL DR, SCARBOROUGH, ME 04074(207) 883-0711 Get Directions Write a Review

NPPES record last updated: July 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lori-ann Gato Lcsw NPPES

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

LORI-ANN GATO LCSW (NPI 1356454573) is an individual clinical provider in Scarborough, Maine, licensed in Maine (LC 11532) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356454573
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLORI-ANN GATOCredential: LCSW
Location Address200 PROFESSIONAL DRScarborough, ME 04074-8434
Mailing Address78 Atlantic PlSouth Portland, ME 04106-2316 · (207) 842-6540 · Fax (207) 842-7773
Phone(207) 883-0711
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 25, 2011
✔ NPI 1356454573 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 · LC 11532
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.
200 PROFESSIONAL DR, Scarborough, ME 04074
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Other Names 1

Former Name (1)Lori-ann Boutin

Other Identifiers 2

Medicaid432212699ME
Medicare PIN000904603ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lori-ann Gato Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 04074 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.

81.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.5
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.

BARBARA R HARVEY LCPC
Counselor (Mental Health)
200 PROFESSIONAL DR
SCARBOROUGH, ME 04074
Cumberland County (207) 842-6540

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 Lori-ann Gato's NPI number?

The NPI number for Lori-ann Gato is 1356454573. It was assigned to this individual provider in the NPPES registry on August 15, 2006. The provider is also known as Lori-Ann Boutin.

Where is Lori-ann Gato located?

Lori-ann Gato practices at 200 Professional Dr, Scarborough, ME 04074. The listed phone number is (207) 883-0711.

What is Lori-ann Gato's specialty?

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

Is Lori-ann Gato enrolled in Medicare?

Yes. Lori-ann Gato is registered in the Medicare PECOS enrollment system.

What insurance does Lori-ann Gato accept?

Health plans from Blue Cross and Blue Shield of Texas and Harvard Pilgrim Health Care list Lori-ann Gato 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 Lori-ann Gato was last updated on July 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.