Ms. Diane Ellaborn, MSW, LICSW
Social Worker, Clinical in Prospect Harbor, Maine
1124109459- Practice location
- 173 Main Street, Prospect Harbor, ME 04669-0067
- Phone
- 508-361-1751
- Fax
- 207-963-9175
- Last updated
- September 5, 2023
Diane Ellaborn is a Social Worker, Clinical based in Prospect Harbor, ME. Diane Ellaborn practices in Prospect Harbor, ME and has the professional credentials of MSW, LICSW. The NPI Number for Diane Ellaborn is 1124109459 and holds a License No. 104732 (MA). The current practice location address for Diane Ellaborn is 173 Main Street, Prospect Harbor, ME 04669-0067 and can be reached out via phone at 508-361-1751 and via fax at 207-963-9175.
Provider Profile Details
- NPI Number
- 1124109459
- Provider Name
- Diane Ellaborn
- Credential
- MSW, LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 173 Main Street, Prospect Harbor, ME 04669-0067
- Phone Number
- 508-361-1751
- Fax Number
- 207-963-9175
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 17, 2006
- Last Update Date
- September 5, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 173 Main Street
Prospect Harbor, ME 04669-0067 - City
- Prospect Harbor
- State
- Maine
- Zip
- 04669-0067
- Phone Number
- 508-361-1751
- Fax Number
- 207-963-9175
Provider Business Mailing Address Details
- Address
- P.o. Box 67
173 Main Street
Prospect Harbor, ME 04669-0067 - City
- Prospect Harbor
- State
- ME
- Zip
- 04669-0067
- Phone Number
- 508-361-1751
- Fax Number
- 207-963-9175
License Information
- License Number (1)
- 104732
- License State (1)
- MA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- LICSW104732
- License State (2)
- MA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Prospect Harbor, ME
View all Social Worker, Clinical providers in Prospect Harbor →Frequently Asked Questions
What is the NPI number of Ms. Diane Ellaborn, MSW, LICSW?
The NPI number of Ms. Diane Ellaborn, MSW, LICSW is 1124109459. It was assigned on October 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Diane Ellaborn, MSW, LICSW?
Ms. Diane Ellaborn, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 104732.
Where does Ms. Diane Ellaborn, MSW, LICSW practice?
The practice location is 173 Main Street, Prospect Harbor, ME 04669-0067. The office can be reached at 508-361-1751 (phone) or 207-963-9175 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124109459 directly on the NPPES registry website.