Individual provider Active NPI

Kathleen Elizabeth Pellecchia, MSW, LMSW-CC, LCSW

  • Social Worker
  • Belfast, ME
National Provider Identifier
1518321090
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MC24164 Issued in ME
Practice address
15 Mid Coast Dr
Belfast, ME 04915-6079
Phone
(207) 338-2295
NPI assigned
Apr 11, 2016
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MC24164 ME Primary
Social Worker 104100000X 231216 MA

Addresses

Primary practice location

15 Mid Coast Dr
Belfast, ME 04915-6079

Mailing address

15 Mid Coast Dr
Belfast, ME 04915-6079

Other practice location 1

12 Union St
Rockland, ME 04841-2739
Phone (207) 701-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
231216MAMDSocial Worker
MC24164MEMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1518321090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MID COAST DR",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MID COAST DR",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156079",
            "telephone_number": "207-338-2295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Union St",
            "address_purpose": "LOCATION",
            "city": "Rockland",
            "state": "ME",
            "postal_code": "048412739",
            "country_code": "US",
            "telephone_number": "207-701-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLECCHIA",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSW, LMSW-CC, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC24164",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "231216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.