Sherry Pelletier, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC14479 Issued in ME

Practice address

27 Birdseye Ave
Caribou, ME 04736-1620

Phone

(207) 492-1653

Fax

(207) 492-1633

NPI assigned

Oct 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Life by Design, PAGroup PAC ID 9032188909, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Life by Design, PA

  • Clinical Social Worker
  • Presque Isle, ME
  • NPI 1053345918
  Medicare reassignment Care Compare group
• Life by Design

  • Health Maintenance Organization
  • Caribou, ME
  • NPI 1316222037
  NPD (past)
• Carlos G. Otis Health Care Center Inc.

  • Critical Access Hospital
  • Townshend, VT
  • NPI 1255337473
  NPD (past)

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1447536156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047690509",
            "telephone_number": "207-492-1653",
            "fax_number": "207-492-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BIRDSEYE AVE",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047361620",
            "telephone_number": "207-492-1653",
            "fax_number": "207-492-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "SHERRY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC5029",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC14479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways Wellness Group, LLP
• Patricia Pelkey, MHRT-CSP
• Abigail Pelletier, MHRT-C, CADC
• Ellis D Pelletier, ATC
• Marthe E Pelletier, RD
• Danielle B Perry, LSW
• Pamela Joan Petrocy, MD
• Tressa L. Philbrook, LCSW
• Philip St. Peter
• Bethany Amanda Phinney, MHRT-C

• Clinical Social Worker in Caribou, ME
• Providers in Caribou, 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 Jul 31, 2019; 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.