MS. NANCY MARIE PLOUFFE LCSW
NPI 1275690398
Social Worker - Clinical in Blue Hill, ME

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
6 MINES RD., BLUE HILL, ME 04614(207) 374-2296 Get Directions Write a Review

NPPES record last updated: July 2, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Nancy Marie Plouffe Lcsw NPPES

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

MS. NANCY MARIE PLOUFFE LCSW (NPI 1275690398) is an individual clinical provider in Blue Hill, Maine, licensed in Maine (LC3637) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1275690398
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. NANCY MARIE PLOUFFECredential: LCSW
Location Address6 MINES RD.Blue Hill, ME 04614
Mailing AddressPo Box 1102Blue Hill, ME 04614-1102 · (207) 374-2296
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 2, 2009
NPI 1275690398 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 · LC3637
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.

6 MINES RD., Blue Hill, ME 04614

Other Identifiers 3

Other026262ME · Anthem Blue Cross
Medicare ID-Type UnspecifiedPLMM6548ME
Other7406163ME · Aetna

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. Nancy Marie Plouffe 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 ID5092758235
PECOS Enrollment IDI20050608000330
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, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
264 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04614 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 Nancy Plouffe's NPI number?

The NPI number for Nancy Plouffe is 1275690398. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Nancy Plouffe located?

Nancy Plouffe practices at 6 Mines Rd., Blue Hill, ME 04614. The listed phone number is (207) 374-2296.

What is Nancy Plouffe's specialty?

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

Is Nancy Plouffe enrolled in Medicare?

Yes. Nancy Plouffe 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 Nancy Plouffe accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Nancy Plouffe 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 Nancy Plouffe was last updated on July 2, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.