MS. KRISTINA MARIE LAUDERBACK MSS, MLSP, L.C.S.W
NPI 1710221890
Social Worker - Clinical in Porter, ME

Active since November 15, 2012PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 7, 2024, Jul 12, 2021 (2 updates tracked since 2021).

About Ms. Kristina Marie Lauderback Mss, Mlsp, L.c.s.w NPPES

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

MS. KRISTINA MARIE LAUDERBACK MSS, MLSP, L.C.S.W (NPI 1710221890) is an individual clinical provider in Porter, Maine, licensed in Maine (LC18460) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1710221890
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KRISTINA MARIE LAUDERBACKCredential: MSS, MLSP, L.C.S.W
Location Address70 MAIN STPorter, ME 04068-3527
Mailing Address70 Main StPorter, ME 04068-3527
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 15, 2012
Last NPPES UpdateFebruary 7, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
NPI 1710221890 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 · LC18460
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.

70 MAIN ST, Porter, ME 04068

Accepted 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

Ms. Kristina Marie Lauderback Mss, Mlsp, L.c.s.w 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 ID7416368311
PECOS Enrollment IDI20201125001662
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 04068 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 $53.26 – $162.77
Typical copayment $0.00 (range $13.31 – $40.69)
Most-billed visit code NA
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

Family Medicine
70 MAIN ST
PORTER, ME 04068
Social Worker (Clinical)
70 MAIN ST
PORTER, ME 04068
Counselor (Mental Health)
70 MAIN ST
PORTER, ME 04068
Dental Hygienist
70 MAIN ST
PORTER, ME 04068
Nurse Practitioner (Family)
70 MAIN ST
PORTER, ME 04068
Clinic/Center (Dental)
70 MAIN ST
PORTER, ME 04068
Dentist (General Practice)
70 MAIN ST
PORTER, ME 04068
Nurse Practitioner (Primary Care)
70 MAIN ST
PORTER, ME 04068

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710221890, enumerated as an "individual" on November 15, 2012.

The provider is located at 70 MAIN ST PORTER, ME 04068 and the phone number is (207) 625-8126.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Harvard Pilgrim. Please consult your insurance carrier or call the provider to verify.