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Deactivated NPI 1790091973 Deactivated / Inactive NPI Male Practitioner

Phillip Smith

Social Worker - Clinical • Gorham, ME

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Phillip Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 25, 2010
NPI Deactivation Date April 03, 2025
Total Practice Duration ~15 Years of Practice (2010 – 2025)

Professional Overview & Biography Verified Profile Summary

Phillip Smith was a registered Social Worker - Clinical practicing in Gorham, ME. Throughout an active medical career spanning 15 years, Phillip Smith provided care at the practice location at 313 OSSIPEE TRL until profile deactivation on 2025-04-03.

Practice Location & Contact Primary Location

Practice Address

313 Ossipee Trl

Gorham, ME 040382131

Telephone 2079290135

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Gorham, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
29 Specialists

Practicing in Gorham, ME (3792 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License ME LC3739

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 03, 2025

Record deactivated on April 03, 2025

NPI Profile Active August 25, 2010

NPI status registered as active in NPPES database

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Updated Practice Location August 25, 2010

Registered at 313 OSSIPEE TRL, GORHAM, ME 040382131 (Tel: 2079290135)

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Updated Business Mailing Address August 25, 2010

Registered at 313 OSSIPEE TRL, GORHAM, ME 040382131 (Tel: 2079290135)

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Provider Name / Credentials Updated August 25, 2010

Recorded as PHILLIP SMITH

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2010

Social Worker (License #LC3739 in ME)

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Initial NPI Registration & Enumeration August 25, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790091973
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2010
Last Update: August 25, 2010
Deactivation Date: April 03, 2025

Mailing Address

313 Ossipee Trl

Gorham, ME 040382131

Phone: 2079290135

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.