Diane Naomi Pelletier, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC6536 Issued in ME

Practice address

27 Gorham Rd Ste 6
Scarborough, ME 04074-8388

Phone

(207) 076-1408

NPI assigned

Oct 23, 2006

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

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

Specialty

Clinical Social Worker

Education

University of New England, College of Osteo Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1881777191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 282",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040700282",
            "telephone_number": "207-883-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GORHAM RD STE 6",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748388",
            "telephone_number": "207-076-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "DIANE",
        "middle_name": "NAOMI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Payeur, PHARMD
• Samantha Pease, MS, NTP, RWP
• Pediatric Cardiology Assoc PA
• Pediatric Dentistry Asleep of Maine
• Michelle Pelchat, DPT
• Sarah Drosdik Pelletier, NP
• Joseph Guy Penna, DMD
• Nichol Irene Penna, D.M.D.
• Marguerite Anne Pennoyer, MD
• Saramarie Reilly Penrod, SLP

• Clinical Social Worker in Scarborough, ME
• Providers in Scarborough, 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 Jan 18, 2024; 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.

Verify at the official NPI Registry.