Active NPI
Erin E Roy-Pelletier, LCSW
- School Social Worker
- North Berwick, ME
National Provider Identifier
1528166998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- LC12269
- Practice address
- 21 Main St
North Berwick, ME 03906 - Phone
- (207) 676-2234
- NPI assigned
- Sep 20, 2006
- Last updated
- Sep 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | LC12269 | ME | Primary |
Addresses
Primary practice location
21 Main St
North Berwick, ME 03906
Mailing address
4 Golden LN
Saco, ME 04072-9386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432339699 | Medicaid | ME |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC12269 | ME | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1528166998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 GOLDEN LN",
"city": "SACO",
"state": "ME",
"postal_code": "040729386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MAIN ST",
"city": "NORTH BERWICK",
"state": "ME",
"postal_code": "03906",
"telephone_number": "207-676-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY-PELLETIER",
"first_name": "ERIN",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "ME",
"license": "LC12269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432339699",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Berwick, ME
- Recovery Maine, Inc.
- Renew Wound Care of Maine PLLC
- Residential and Community Support Services
- Rise Counseling Services, LLC
- Mark Andrew Rouillard
- Rsu/Sad#60
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc. (Saco Bay Orthopaedic Sports & Physical Therapy)
- Leah Schroeder, OTR/L
- Sea Sparrow Coastal Counseling LLC
- Mary Sloan, N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.