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DRAGONFLY WELLNESS STUDIO
NPI 1295263762
Social Worker - Clinical in Gorham, ME

Active since May 30, 2017
84 GORDON FARMS RD, GORHAM, ME 04038(207) 613-6843(207) 419-2732 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 21, 2023, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dragonfly Wellness Studio NPPES

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

DRAGONFLY WELLNESS STUDIO (NPI 1295263762) is a healthcare organization registered as a clinical in Gorham, Maine and active in the NPI registry since May 2017. The organization maintains a secondary practice location in Gorham and lists Susan Elizabeth Gaudet, Owner/founder, as its authorized official.

NPPES Registry Identity

NPI1295263762
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameDRAGONFLY WELLNESS STUDIO LLC
Location Address84 GORDON FARMS RDGorham, ME 04038-2389
Mailing Address84 Gordon Farms RdGorham, ME 04038-2389 · (207) 613-6843 · Fax (207) 613-6843
Phone(207) 613-6843
Fax(207) 419-2732
Organization SubpartNo
Authorized OfficialSusan Elizabeth GaudetOwner/founder · (207) 613-6843
Enumeration DateMay 30, 2017
Last NPPES UpdateMarch 21, 20234 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
✔ NPI 1295263762 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 · LC14105
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.
84 GORDON FARMS RD, Gorham, ME 04038
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Other Names 1

Other NameDragonfly Wellness Studio

Secondary Practice Location 1

Location 184 Gordon Farms RdGorham, ME 04038-2389 · Phone (207) 613-6843 · Fax (207) 613-6843

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dragonfly Wellness Studio is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dragonfly Wellness Studio, which bills Medicare for the services this clinician delivers.

Clinician (1)

Susan Gaudet, LCSW
Clinical Social Worker
NPI 1902194731
84 GORDON FARMS RD
Gorham, ME 04038
(207) 613-6843
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dragonfly Wellness Studio LLC's NPI number?

The NPI number for Dragonfly Wellness Studio LLC is 1295263762. It was assigned to this organization in the NPPES registry on May 30, 2017. The provider is also known as Dragonfly Wellness Studio.

Where is Dragonfly Wellness Studio LLC located?

Dragonfly Wellness Studio LLC is located at 84 Gordon Farms Rd, Gorham, ME 04038. The listed phone number is (207) 613-6843.

What is Dragonfly Wellness Studio LLC's specialty?

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

Is Dragonfly Wellness Studio LLC enrolled in Medicare?

Yes. Dragonfly Wellness Studio LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dragonfly Wellness Studio LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Dragonfly Wellness Studio LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dragonfly Wellness Studio LLC was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.