SHANNON WATTS (LCSW) – Clinical Social Worker, NPI 1881050300
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,103 CLINICAL SOCIAL WORKER in ME
Provider Addresses for SHANNON WATTS (LCSW)
275 Main St Ste 205
Biddeford, ME 040052432
Phone: (207) 494-8010
Fax: (207) 494-8471
Type: Location
98 Western Ave
Augusta, ME 043307261
Phone: (207) 494-8010
Fax: (207) 494-8471
Type: Location
640 Brighton Ave Ste 5
Portland, ME 041021047
Phone: (207) 494-8010
Fax: (207) 494-8471
Type: Location
474 Main St
Springvale, ME 040831409
Phone: (844) 292-0111
Fax: (207) 490-5263
Type: Location
35 LYNWOOD DR
NORTH WATERBORO, ME 040614636
Phone: (207) 229-6469
Type: Location
201 MARINER WAY # 1009
BIDDEFORD, ME 040059437
Phone: (207) 229-6469
Type: Mailing
275 MAIN ST STE 205
BIDDEFORD, ME 040052432
Phone: (207) 494-8010
Fax: (207) 494-8471
Type: Mailing
40, Summer Street, Bangor, Penobscot County, Maine, 04401, United States
BANGOR, ME 044017144
Phone: (207) 356-3638
Fax: (207) 990-3660
Type: Mailing
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: 2018-03-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180307002019 | I | Clinical Social Worker | ME | TBD |
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.
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 04005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ME | |
| Clinical Social Worker | ME | |
| Clinical Social Worker | ME | |
| Clinical Social Worker | TN | |
| Clinical Social Worker | ME | |
| Clinical Social Worker | ME | |
| Mental Health Counselor | ME | |
| - | ME | |
| Clinical Social Worker | ME |
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