Individual provider Active NPI

Daryne M Rockett, LCSW

  • Clinical Social Worker
  • Orono, ME
National Provider Identifier
1811608458
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC10787 Issued in ME
Practice address
291 Main St
Orono, ME 04473-3439
Phone
(207) 881-3134
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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 LC10787 ME Primary

Addresses

Primary practice location

291 Main St
Orono, ME 04473-3439

Mailing address

291 Main St
Orono, ME 04473-3439
Phone (207) 881-3134

Other names 1

  • Mandala Counseling And Creative Arts LLC Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230406002081 ME Practitioner - Clinical Social Worker 6507231412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

291 Main St
Orono, ME 04473-3439
Phone (207) 881-3134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC10787MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mandala Counseling and Creative Arts, LLC Clinical CurrentSince Feb 1, 2023 Accepting new patients

Locations

291 Main St
Orono, ME 04473
Phone (207) 866-5531

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1811608458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 MAIN ST",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044733439",
            "telephone_number": "207-881-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 MAIN ST",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044733439",
            "telephone_number": "207-881-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKETT",
        "first_name": "DARYNE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC10787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDALA COUNSELING",
            "last_name": "CREATIVE ARTS LLC",
            "middle_name": "AND",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orono, ME

Sources for this page

Verify at the official NPI Registry.