Individual provider Active NPI

Diane T Riopelle, MSW

  • Clinical Social Worker
  • Fremont, NH
National Provider Identifier
1205992336
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110726 Issued in MA
Practice address
24 Andreski Dr
Fremont, NH 03044-3020
Phone
(978) 590-9367
Fax
(978) 372-6173
NPI assigned
Jan 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110726 MA Primary

Addresses

Primary practice location

24 Andreski Dr
Fremont, NH 03044-3020

Mailing address

24 Andreski Dr
Fremont, NH 03044-3020
Phone (978) 590-9367

Other identifiers 8

IdentifierTypeStateIssuer
476459000OtherMAMAGELLAN
P07898OtherMABC&BS
1858149MedicaidMA
2169428OtherMACIGNA
110032000AMedicaidMA
3126959MedicaidNH
1030500OtherMABEACON HEALTH STRATEGIES
7815382OtherMAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040512001376 MA Practitioner - Clinical Social Worker 5597755652 Practice locations: Haverhill, MA
I20200604001477 NH Practitioner - Clinical Social Worker 5597755652 Practice locations: Fremont, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24 Andreski Dr
Fremont, NH 03044-3020
Phone (978) 374-0055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015NHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1205992336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ANDRESKI DR",
            "city": "FREMONT",
            "state": "NH",
            "postal_code": "030443020",
            "telephone_number": "978-590-9367",
            "fax_number": "978-372-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ANDRESKI DR",
            "city": "FREMONT",
            "state": "NH",
            "postal_code": "030443020",
            "telephone_number": "978-590-9367",
            "fax_number": "978-372-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOPELLE",
        "first_name": "DIANE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "476459000",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC&BS",
            "identifier": "P07898",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1858149",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2169428",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110032000A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3126959",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "1030500",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7815382",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NH

Sources for this page

Verify at the official NPI Registry.