Active NPI
Diantha Sarah Bovey, LCSW
- Clinical Social Worker
- Belfast, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC15824
- Practice address
- 36 Swan Lake Ave
Belfast, ME 04915-7016 - Phone
- (207) 322-2170
- NPI assigned
- Nov 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | .13224 | SC | |
| Clinical Social Worker | 1041C0700X | LC15824 | ME | Primary |
Addresses
Primary practice location
36 Swan Lake Ave
Belfast, ME 04915-7016
Mailing address
36 Swan Lake Ave
Belfast, ME 04915-7016
Phone (207) 322-2170
Other practice location 1
220 Ronnie Ct Ste 2
Myrtle Beach, SC 29579-4192
Phone (843) 902-9274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
67 Eustis Pkwy
Waterville, ME 04901-5173
Phone (207) 873-2136
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC15824 | ME | MD | Clinical Social Worker |
| .13224 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Haven Counseling LLC | Current | Accepting new patients |
Locations
3100 Dick Pond Rd
Ste D2
Myrtle Beach, SC 29588
Phone (843) 945-0346
220 Ronnie Ct
Ste 2
Myrtle Beach, SC 29579
Phone (843) 732-6830
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kennebec Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waterville, ME
- NPI 1679504864
-
- Mental Health Counselor
- Myrtle Beach, SC
- NPI 1609314293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1861935405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 SWAN LAKE AVE",
"city": "BELFAST",
"state": "ME",
"postal_code": "049157016",
"telephone_number": "207-322-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 SWAN LAKE AVE",
"city": "BELFAST",
"state": "ME",
"postal_code": "049157016",
"telephone_number": "207-322-2170"
}
],
"practiceLocations": [
{
"address_1": "220 Ronnie Ct Ste 2",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295794192",
"country_code": "US",
"telephone_number": "843-902-9274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOVEY",
"first_name": "DIANTHA",
"middle_name": "SARAH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-30",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": ".13224",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC15824",
"primary": true
}
],
"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 Jan 24, 2020; 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.