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MR. RICHARD ALAN WAITZKIN MSW LCSW
NPI 1710011424
Social Worker - Clinical in Portland, ME

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment
12 GAY STREET, PORTLAND, ME 04103(207) 774-5025 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Richard Alan Waitzkin Msw Lcsw NPPES

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

MR. RICHARD ALAN WAITZKIN MSW LCSW (NPI 1710011424) is an individual clinical provider in Portland, Maine, licensed in Maine (LC1096) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1710011424
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. RICHARD ALAN WAITZKINCredential: MSW LCSW
Location Address12 GAY STREETPortland, ME 04103
Mailing Address12 Gay StreetPortland, ME 04103 · (207) 774-5025
Phone(207) 774-5025
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMarch 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710011424 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 · LC1096
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.
12 GAY STREET, Portland, ME 04103
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Other Identifiers 1

Medicare ID-Type UnspecifiedMM4635ME

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

Mr. Richard Alan Waitzkin Msw 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 ID5799721577
PECOS Enrollment IDI20050701000250
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.

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 Richard Waitzkin's NPI number?

The NPI number for Richard Waitzkin is 1710011424. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Richard Waitzkin located?

Richard Waitzkin practices at 12 Gay Street, Portland, ME 04103. The listed phone number is (207) 774-5025.

What is Richard Waitzkin's specialty?

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

Is Richard Waitzkin enrolled in Medicare?

Yes. Richard Waitzkin 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 Richard Waitzkin accept?

Health plans from Anthem Blue Cross and Blue Shield list Richard Waitzkin 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 Richard Waitzkin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.