MR. CHARLES EDWARD II SCOTT (LCSW) – Clinical Social Worker, NPI 1013383629

MR. CHARLES EDWARD II SCOTT (LCSW) is a healthcare provider. based in Bangor, Maine. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. MC15483 (ME). The NPI Number for MR. CHARLES EDWARD II SCOTT (LCSW) is 1013383629

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHARLES EDWARD II SCOTT (LCSW)
NPI
1013383629
Phone
(207) 941-6434
Address
202 Exchange St
Enumeration Date
18 August 2015
Last Update Date
7 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2073333278
Graduation Year
2015 (11 years ago)
PAC ID
8325348626
Group Practice PAC ID
1951594076
Professional Enrollment ID
I20151118000492
Address ID
ME042103830AU306XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,103 CLINICAL SOCIAL WORKER in ME

Provider Addresses for MR. CHARLES EDWARD II SCOTT (LCSW)

  • 202 Exchange St

    Bangor, ME 044016508

    Phone: (207) 941-6434

    Fax: (207) 941-9366

    Type: Location

  • 763 BEAR HILL RD

    DOVER FOXCROFT, ME 044263306

    Phone: (207) 343-1189

    Fax: (207) 564-0060

    Type: Mailing

  • 8 MOOSEHEAD LN APT 117

    DOVER FOXCROFT, ME 044261402

    Phone: (207) 343-1189

    Fax: (800) 783-5801

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151118000492IClinical Social WorkerMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951594076View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MR. CHARLES EDWARD II SCOTT (LCSW) in the U.S.?
In the U.S., MR. CHARLES EDWARD II SCOTT (LCSW) is identified by NPI 1013383629.
Does the public listing show MR. CHARLES EDWARD II SCOTT (LCSW) as active?
MR. CHARLES EDWARD II SCOTT (LCSW)'s NPI record reflects an active status in NPPES.
How should patients interpret MR. CHARLES EDWARD II SCOTT (LCSW)'s specialty?
The extract shows Clinical Social Worker for MR. CHARLES EDWARD II SCOTT (LCSW). Clinical services aligned with this taxonomy classification.
Is MR. CHARLES EDWARD II SCOTT (LCSW) tied to Bangor, Maine?
If you are local to Bangor, Maine, MR. CHARLES EDWARD II SCOTT (LCSW) may be relevant to your search.
Who maintains MR. CHARLES EDWARD II SCOTT (LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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