CMS-1500 Box 24J / 33a • NPI
1811903602
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
104100000X
Licensed & Credentialed Social Worker
Box 32 Service Location & ZIP+4
453 US ROUTE 1, KITTERY, ME, 03904-5513
✓ 9-Digit EDI 837 ZIP+4 (03904-5513)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1811903602 (PATRICIA M. DESCHAMPS, LMSW-CC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1811903602 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | PATRICIA M. DESCHAMPS, LMSW-CC |
| Plain-English Specialty | Licensed & Credentialed Social Worker NUCC Code: 104100000X (Social Worker) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 453 US ROUTE 1, KITTERY, ME, 03904-5513 |
| Practice Telephone / Fax | Tel: (207) 451-1750 | Fax: (207) 439-4360 |
| Administrative Mailing Address | 78 ATLANTIC PL, SOUTH PORTLAND, ME, 04106-2316 |
| Enumeration & Last Sync | Enumerated: 2006-07-31 | CMS Record Updated: 2012-11-01 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (104100000X)
What Does Taxonomy Code 104100000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 104100000X translates to:
"Licensed & Credentialed Social Worker"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (PATRICIA M. DESCHAMPS, LMSW-CC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
104100000X — Social WorkerPlain English: Licensed & Credentialed Social Worker | State: ME | License: MC9079 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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