Active NPI
Eleanor D Pancoe, LMSW-CC
- Social Worker
- Bar Harbor, ME
National Provider Identifier
1992751051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LC10852
- Practice address
- 322 Main St
Bar Harbor, ME 04609-1648 - Phone
- (207) 288-8604
- Fax
- (207) 288-7024
- NPI assigned
- May 26, 2006
- Last updated
- Jan 2, 2008
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LC10852 | ME | Primary |
Addresses
Primary practice location
322 Main St
Bar Harbor, ME 04609-1648
Mailing address
10 Wayman LN
Bar Harbor, ME 04609-1625
Phone (207) 288-5081
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431954799 | Medicaid | ME | |
| LC10852 | Other | ME | MAINE LICENSE |
| 098304 | Other | ME | ANTHEM LEGACY NUMBER |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Possibilities Counseling Services, Inc. | Past | Accepting new patients | |
| Northeast Occupational Exchange, Inc | Social Worker | Past | Accepting new patients |
| Acadia Psychiatry PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mount Desert, ME
- NPI 1548031834
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Auburn, ME
- NPI 1235209750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199232000000",
"number": "1992751051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WAYMAN LN",
"city": "BAR HARBOR",
"state": "ME",
"postal_code": "046091625",
"telephone_number": "207-288-5081",
"fax_number": "207-288-7024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 MAIN ST",
"city": "BAR HARBOR",
"state": "ME",
"postal_code": "046091648",
"telephone_number": "207-288-8604",
"fax_number": "207-288-7024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANCOE",
"first_name": "ELEANOR",
"middle_name": "D",
"credential": "LMSW-CC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2008-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "LC10852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431954799",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE LICENSE",
"identifier": "LC10852",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM LEGACY NUMBER",
"identifier": "098304",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bar Harbor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.