NICOLE EJ MOSS LMSW-CC
NPI 1548969512
Social Worker - Clinical in Portland, ME

Active since February 28, 2023PECOS EnrolledAccepts Medicare Assignment
901 WASHINGTON AVE STE 100, PORTLAND, ME 04103(207) 871-1200(207) 871-1232 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicole Ej Moss Lmsw-cc NPPES

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

NICOLE EJ MOSS LMSW-CC (NPI 1548969512) is an individual clinical provider in Portland, Maine, licensed in Maine (MC20776) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1548969512
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE EJ MOSSCredential: LMSW-CC
Location Address901 WASHINGTON AVE STE 100Portland, ME 04103-2842
Mailing Address901 Washington Ave Ste 100Portland, ME 04103-2842 · (207) 871-1200 · Fax (207) 871-1232
Fax(207) 871-1232
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 28, 2023
NPPES CertifiedFebruary 28, 2023
✔ NPI 1548969512 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 · MC20776
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.
901 WASHINGTON AVE STE 100, Portland, ME 04103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Ej Moss Lmsw-cc 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 ID7810474236
PECOS Enrollment IDI20260115004184
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 Nicole Moss reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
62 ELM ST
Portland, ME 04101
  • Reassigned Medicare billing, Maine enrollment
  • 162 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 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 20

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

Counselor (Mental Health)
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103
Occupational Therapist
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103
Social Worker (Clinical)
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103
Social Worker (Clinical)
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103
Social Worker (Clinical)
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103
Social Worker (Clinical)
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103
Social Worker (Clinical)
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103
Social Worker (Clinical)
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103

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 Nicole Moss's NPI number?

The NPI number for Nicole Moss is 1548969512. It was assigned to this individual provider in the NPPES registry on February 28, 2023.

Where is Nicole Moss located?

Nicole Moss practices at 901 Washington Ave Ste 100, Portland, ME 04103. The listed phone number is (207) 871-1200.

What is Nicole Moss's specialty?

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

Is Nicole Moss enrolled in Medicare?

Yes. Nicole Moss 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.

Which organization bills Medicare for Nicole Moss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Moss reassigns Medicare benefits to Spurwink Services Incorporated (Portland, 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 Nicole Moss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Moss was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.