KATHERINE C HALLISSEY LCSW
NPI 1306484563
Social Worker - Clinical in South Portland, ME
NPI Status: Active since December 18, 2019
Contact Information
100 FODEN RD
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 523-3798
- Individual
- Female
- Social Worker
- Clinical
- Accepts Insurance
- PECOS Enrolled
About KATHERINE HALLISSEY
This page provides the complete NPI Profile along with additional information for Katherine Hallissey, a provider established in South Portland, Maine with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1306484563 assigned on December 2019. The practitioner's primary taxonomy code is 1041C0700X with license number LC20894 (ME). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1306484563
- Provider Name
- KATHERINE C HALLISSEY LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 100 FODEN RD SOUTH PORTLAND, ME 04106
- Location Phone
- (207) 523-3798
- Mailing Address
- 100 GANNETT DR STE C SOUTH PORTLAND, ME 04106
- Mailing Phone
- (207) 828-0361
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-18-2019
- Last Update Date
- 10-16-2024
- Code Navigator
A clinical social worker like Katherine Hallissey is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LC20894
- License State
- ME
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | LC20894 (ME) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Katherine Hallissey is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 04106 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $56.28
- Maximum New Patient Price $169.96
- Average New Patient Copayment $0
- Minimum New Patient Copayment $14.07
- Maximum New Patient Copayment $42.49
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.13
- Minimum Established Patient Price $18.22
- Maximum Established Patient Price $138.92
- Average Established Patient Copayment $17.53
- Minimum Established Patient Copayment $4.55
- Maximum Established Patient Copayment $34.73
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for KATHERINE C HALLISSEY LCSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 0 | 6 | 4 | 8 | 4 | 5 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 8 | 8 | 8 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 8 + 8 + 8 + 5 + 1 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1306484563 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1215937040 | LENORA L DOLEWA PT Individual | Physical Therapist | 100 FODEN RD SUITE 103W SOUTH PORTLAND, ME 04106 (207) 772-2625 |
| 1134129968 | KATE A BUZZELL PT Individual | Physical Therapist | 100 FODEN RD SUITE 103W SOUTH PORTLAND, ME 04106 (207) 772-2625 |
| 1144218389 | RYAN A LUCAS A.T.C. Individual | Specialist/Technologist (Athletic Trainer) | 100 FODEN RD SUITE 103 WEST SOUTH PORTLAND, ME 04106 (207) 772-2625 |
| 1912949108 | SARAH E DALY ATC Individual | Specialist/Technologist (Athletic Trainer) | 100 FODEN RD SUITE 103W SOUTH PORTLAND, ME 04106 (207) 772-2625 |
| 1619912409 | DONALD E BITTERMANN M.D. Individual | Radiology (Diagnostic Radiology) | 100 FODEN RD SUITE 100 SOUTH PORTLAND, ME 04106 (207) 874-9012 |
| 1497790836 | LISA FAVREAU ATC Individual | Specialist/Technologist (Athletic Trainer) | 100 FODEN RD SUITE 103W SO PORTLAND, ME 04106 (207) 772-2625 |
| 1427248681 | DR. CYNTHIA B ASBJORNSEN D. O Individual | Phlebology | 100 FODEN RD SUITE 307 WEST SOUTH PORTLAND, ME 04106 (207) 221-7799 |
| 1467638312 | ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE, LLC Organization | Orthopaedic Surgery (Sports Medicine) | 100 FODEN RD SUITE 307 SOUTH PORTLAND, ME 04106 (207) 332-5462 |
| 1275813933 | CINDY ASBJORNSEN DO LLC Organization | Family Medicine | 100 FODEN RD SUITE 307 W SOUTH PORTLAND, ME 04106 (207) 221-3919 |
| 1053380741 | MS. SARAH FUHRMAN FNP Individual | Nurse Practitioner (Family) | 100 FODEN RD SUITE 203 SOUTH PORTLAND, ME 04106 (207) 874-1489 |
| 1275954620 | LIANA HOBGOOD Individual | Specialist/Technologist (Athletic Trainer) | 100 FODEN RD SUITE 205 SOUTH PORTLAND, ME 04106 (207) 780-8860 |
| 1598189565 | JEAN SMAIL Individual | Clinic/Center (Physical Therapy) | 100 FODEN RD SUITE 200 SOUTH PORTLAND, ME 04106 (207) 523-8500 |
| 1922268168 | DR. TERESA L MAY DO Individual | Internal Medicine (Pulmonary Disease) | 100 FODEN RD SUITE 103, WEST BUILDING SOUTH PORTLAND, ME 04106 (207) 828-1122 |
| 1811246010 | HANNAH TAYLOR PH.D. Individual | Psychologist (Clinical) | 100 FODEN RD #103 SOUTH PORTLAND, ME 04106 (207) 828-1122 |
| 1033367982 | INTERMED PA Organization | Clinical Medical Laboratory | 100 FODEN RD SUITE 203 SOUTH PORTLAND, ME 04106 (207) 828-0361 |
| 1619359007 | MARGARET LIBBY NP-C Individual | Nurse Practitioner (Family) | 100 FODEN RD SUITE 203 SOUTH PORTLAND, ME 04106 (207) 874-1489 |
| 1154967206 | DALANI ROY ATC Individual | Specialist/Technologist (Athletic Trainer) | 100 FODEN RD SOUTH PORTLAND, ME 04106 (207) 774-5816 |
| 1528609534 | MR. JAMES HYUNSEOK PAK ATC Individual | Specialist/Technologist (Athletic Trainer) | 100 FODEN RD SOUTH PORTLAND, ME 04106 (207) 780-8860 |
| 1558059329 | MORGAN L. KONISKY LCSW Individual | Social Worker (Clinical) | 100 FODEN RD SOUTH PORTLAND, ME 04106 (207) 874-1489 |
| 1558733899 | MRS. ELIZABETH SUTCLIFFE VALENTINE NP Individual | Nurse Practitioner (Gerontology) | 100 FODEN RD SOUTH PORTLAND, ME 04106 (207) 523-3900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306484563, enumerated in the NPI registry as an "individual" on December 18, 2019
The provider is located at 100 Foden Rd South Portland, Me 04106 and the phone number is (207) 523-3798
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $70.13 and an average copayment of 17.53. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on December 18, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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