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Active NPI 1659652022 Individual Practitioner Male Practitioner

Peter J. Fuller , LCSW, LADC

Social Worker - Clinical • Springvale, ME

Professional Overview & Biography Verified Profile Summary

Peter Fuller, LCSW, LADC is a registered healthcare professional specializing in Social Worker - Clinical in Springvale, ME. Practice services are available at 474 MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

474 Main St

Springvale, ME 040831409

Telephone 2073241500
Fax 2074905263
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Springvale, ME

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

Practicing in Springvale, ME (3792 Statewide)

Telehealth Adoption Rate
2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
74 22 $135.00 $92.19
90791 Psychiatric diagnostic evaluation
14 14 $150.21 $95.07

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License ME LC4929

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License ME LC4294

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Terah Watson , LCSW, LADC

Social Worker - Clinical

NPI 1003143900

Licensed Clinical Social Worker, Licensed Alcohol and Drug Counselor

Lynne Signore , RN

Registered Nurse - Psychiatric/Mental Health, Child & Adolescent

NPI 1053550038

Registered Nurse

Nicholas Angers , LCPC

Counselor - Professional

NPI 1053559849

Licensed Clinical Professional Counselor

Kelley Bernard

Social Worker - Clinical

NPI 1053610600
Laurie Keene , LMSW-CC

Social Worker - Clinical

NPI 1053623678

LMSWCC

NPI 1053740928

LMSWCC

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2016

Registered at 474 MAIN ST, SPRINGVALE, ME 040831409 (Tel: 2073241500)

📍
Updated Business Mailing Address June 22, 2016

Registered at 78 ATLANTIC PLACE, SOUTH PORTLAND, ME 041062316 (Tel: 2076616654)

👤
Provider Name / Credentials Updated June 22, 2016

Recorded as PETER FULLER, LCSW, LADC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2016

Counselor (License #LC4294 in ME)

🟢
Initial NPI Registration & Enumeration August 30, 2011

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: 1659652022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2011
Last Update: June 22, 2016
Sole Proprietor: No

Mailing Address

78 Atlantic Place

South Portland, ME 041062316

Phone: 2076616654

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.