MS. DIANE ELLABORN MSW, LICSW
NPI 1124109459
Social Worker - Clinical in Prospect Harbor, ME

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
173 MAIN STREET, PROSPECT HARBOR, ME 04669(508) 361-1751(207) 963-9175 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Diane Ellaborn Msw, Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DIANE ELLABORN MSW, LICSW (NPI 1124109459) is an individual clinical provider in Prospect Harbor, Maine, licensed in Massachusetts (LICSW104732) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1124109459
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. DIANE ELLABORNCredential: MSW, LICSW
Location Address173 MAIN STREETProspect Harbor, ME 04669-0067
Mailing AddressP.o. Box 67, 173 Main StreetProspect Harbor, ME 04669-0067 · (508) 361-1751 · Fax (207) 963-9175
Fax(207) 963-9175
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateOctober 17, 2006
Last NPPES UpdateSeptember 5, 2023
NPI 1124109459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MA · LICSW104732 Licensed in MA · 104732
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
173 MAIN STREET, Prospect Harbor, ME 04669

Other Identifiers 9

Medicaid000000031285MA
Other304462MA · Magellan
Other140670MA · Value Options
OtherP03867MA · Bcbs
Other1012390Beacon
Medicaid1890352MA
Other118190MA · Bhn
Other6200635MA · Ubh
Other767846MA · Tufts

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Diane Ellaborn Msw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719912401
PECOS Enrollment IDI20120201000703
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
481 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04669 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.26 – $162.77
Typical copayment $0.00 (range $13.31 – $40.69)
Most-billed visit code NA
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Ellaborn's NPI number?

The NPI number for Diane Ellaborn is 1124109459. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Diane Ellaborn located?

Diane Ellaborn practices at 173 Main Street, Prospect Harbor, ME 04669. The listed phone number is (508) 361-1751.

What is Diane Ellaborn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Diane Ellaborn enrolled in Medicare?

Yes. Diane Ellaborn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Diane Ellaborn accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Diane Ellaborn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diane Ellaborn was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.