Lana M Pelletier, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10017 Issued in ME

Practice address

96 Market St
Fort Kent, ME 04743-1453

Phone

(207) 834-3186

NPI assigned

Aug 25, 2008

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

• Aroostook Mental Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Presque Isle, ME
  • NPI 1487601399

  Clinical

  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1629225305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 ALLAGASH RD",
            "city": "ALLAGASH",
            "state": "ME",
            "postal_code": "047744001",
            "telephone_number": "207-398-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 MARKET ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431453",
            "telephone_number": "207-834-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "LANA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "10017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joey Ouellette
• Mandy Ouellette, NURSE PRACTITIONER
• Mark W. Overton, M.D.
• Savannah Paradis-Hamilton, OTR/L
• Christa Pelletier, O.T.
• Lisa E. Pelletier, RNFA
• Lynne Marie Pelletier, RN-BSN
• Megan K Pelletier, PHARMD
• Renee Pelletier, AGNP-C
• Sarah Patricia Pelletier, CNP

• Clinical Social Worker in Fort Kent, ME
• Providers in Fort Kent, 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 Aug 25, 2008; 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.