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KAREN HEROUX LCSW
NPI 1497831358
Social Worker - Clinical in Portland, ME

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
1321 WASHINGTON AVE, SUITE 106, PORTLAND, ME 04103(888) 806-8801(888) 806-8801 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Heroux Lcsw NPPES

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

KAREN HEROUX LCSW (NPI 1497831358) is an individual clinical provider in Portland, Maine, licensed in Maine (LC6631) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1497831358
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAREN HEROUXCredential: LCSW
Location Address1321 WASHINGTON AVE, SUITE 106Portland, ME 04103-3636
Mailing AddressPo Box 7043Scarborough, ME 04070-7043 · (888) 806-8801 · Fax (888) 806-8801
Phone(888) 806-8801
Fax(888) 806-8801
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 31, 2006
Last NPPES UpdateSeptember 7, 2011
✔ NPI 1497831358 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 · LC6631
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.
1321 WASHINGTON AVE, Portland, ME 04103
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedME1895ME · Medicare Number
Medicaid432148799ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Heroux Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193734267
PECOS Enrollment IDI20060418000488
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 04103 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 14

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

NICHOLAS D PENNELL FNP
Nurse Practitioner (Family)
1321 WASHINGTON AVE, 301
PORTLAND, ME 04103
Cumberland County (207) 780-6565
PAULA CURRAN LCSW
Social Worker (Clinical)
1321 WASHINGTON AVE, SUITE 304
PORTLAND, ME 04103
Cumberland County (207) 541-9364
YVONNE L. DECORY M.D., P.A.
Psychiatry & Neurology (Psychiatry)
1321 WASHINGTON AVE, SUITE 304
PORTLAND, ME 04103
Cumberland County (207) 541-9354
LAUREN HERDRICH MA, LPC
Counselor (Professional)
1321 WASHINGTON AVE
PORTLAND, ME 04103
Cumberland County (207) 274-1920
KATHY DAHMS FNP
Nurse Practitioner (Family)
1321 WASHINGTON AVE, SUITE 310
PORTLAND, ME 04103
Cumberland County (207) 780-6565
JENNIFER A BLANCHETTE PSYD
Psychologist (Clinical)
1321 WASHINGTON AVE
PORTLAND, ME 04103
Cumberland County (207) 749-2343
DIALECTICAL AND COGNITIVE BEHAVIORAL THERAPY OF NH, PLLC
Community/Behavioral Health
1321 WASHINGTON AVE, SUITE 304
PORTLAND, ME 04103
Cumberland County (323) 723-2864
KRISTEN MICKKELSEN PMHNP BC LLC
Nurse Practitioner (Psychiatric/Mental Health)
1321 WASHINGTON AVE, SUITE 304
PORTLAND, ME 04103
Cumberland County (207) 536-3088

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 Karen Heroux's NPI number?

The NPI number for Karen Heroux is 1497831358. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Karen Heroux located?

Karen Heroux practices at 1321 Washington Ave Suite 106, Portland, ME 04103. The listed phone number is (888) 806-8801.

What is Karen Heroux's specialty?

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

Is Karen Heroux enrolled in Medicare?

Yes. Karen Heroux is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karen Heroux accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen Heroux 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 Karen Heroux was last updated on September 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.