Lauren Marie Kowalczyk Pelton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC15632 Issued in ME

Practice address

78 Madison Ave
Skowhegan, ME 04976-1221

Phone

(207) 612-3019

Fax

(207) 858-4868

NPI assigned

Aug 15, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health and Counseling ServicesGroup PAC ID 4880658590, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health and Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bangor, ME
  • NPI 1457415184
  Medicare reassignment Care Compare group NPD
• Community Health and Counseling Services

  • Community Based Hospice Care Agency
  • Bangor, ME
  • NPI 1508921842
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1205269180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 MADISON AVE",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761221",
            "telephone_number": "207-612-3019",
            "fax_number": "207-858-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MADISON AVE",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761221",
            "telephone_number": "207-612-3019",
            "fax_number": "207-858-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTON",
        "first_name": "LAUREN",
        "middle_name": "MARIE KOWALCZYK",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC15632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scot A Padelford, AT
• David A Pakulski, OD, PA
• Chad Parisi, LCPC
• Felicia A Parker, SLP
• Savanna Patenaude
• Jessica Perez, M.D.
• Stephanie J Pettegrow, PT
• Joyce E Philbrook, RN-C
• Noah Michael Pierce, PHARMD
• Alisha Nicole Pike, LMSW-CC

• Clinical Social Worker in Skowhegan, ME
• Providers in Skowhegan, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.