MRS. LAUREN MARIE KOWALCZYK PELTON LCSW
NPI 1205269180
Social Worker - Clinical in Skowhegan, ME

Active since August 15, 2013PECOS EnrolledAccepts Medicare Assignment
78 MADISON AVE, SKOWHEGAN, ME 04976(207) 612-3019(207) 858-4868 Get Directions Write a Review

NPPES record last updated: September 15, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Lauren Marie Kowalczyk Pelton Lcsw NPPES

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

MRS. LAUREN MARIE KOWALCZYK PELTON LCSW (NPI 1205269180) is an individual clinical provider in Skowhegan, Maine, licensed in Maine (LC15632) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1205269180
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. LAUREN MARIE KOWALCZYK PELTONCredential: LCSW
Location Address78 MADISON AVESkowhegan, ME 04976-1221
Mailing Address78 Madison AveSkowhegan, ME 04976-1221 · (207) 612-3019 · Fax (207) 858-4868
Fax(207) 858-4868
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 15, 2013
Last NPPES UpdateSeptember 15, 2015
NPI 1205269180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ME · LC15632
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.

78 MADISON AVE, Skowhegan, ME 04976

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

Mrs. Lauren Marie Kowalczyk Pelton Lcsw 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 ID4385954270
PECOS Enrollment IDI20151104002789
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04976 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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
78 MADISON AVE
SKOWHEGAN, ME 04976
Case Manager/Care Coordinator
78 MADISON AVE
SKOWHEGAN, ME 04976
Counselor (Professional)
78 MADISON AVE
SKOWHEGAN, ME 04976
Social Worker
78 MADISON AVE
SKOWHEGAN, ME 04976
Social Worker
78 MADISON AVE
SKOWHEGAN, ME 04976
Counselor
78 MADISON AVE
SKOWHEGAN, ME 04976

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 Lauren Pelton's NPI number?

The NPI number for Lauren Pelton is 1205269180. It was assigned to this individual provider in the NPPES registry on August 15, 2013.

Where is Lauren Pelton located?

Lauren Pelton practices at 78 Madison Ave, Skowhegan, ME 04976. The listed phone number is (207) 612-3019.

What is Lauren Pelton's specialty?

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

Is Lauren Pelton enrolled in Medicare?

Yes. Lauren Pelton 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.

When was this NPI record last updated?

The NPPES record for Lauren Pelton was last updated on September 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.