ANNETTE D SCANLON LICSW
NPI 1396891396
Social Worker - Clinical in Providence, RI
About Annette D Scanlon Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNETTE D SCANLON LICSW (NPI 1396891396) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW02317) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Annette D Scanlon 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.
Medicare Billing Reassignment
Medicare enrollment records show Annette Scanlon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Franklin, MA 02038
- Reassigned Medicare billing, Massachusetts enrollment
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PROVIDENCE, RI 02906
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 Annette Scanlon's NPI number?
The NPI number for Annette Scanlon is 1396891396. It was assigned to this individual provider in the NPPES registry on January 25, 2007.
Where is Annette Scanlon located?
Annette Scanlon practices at 55 Hope St, Providence, RI 02906. The listed phone number is (401) 331-1350.
What is Annette Scanlon's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Annette Scanlon enrolled in Medicare?
Yes. Annette Scanlon 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.
Which organization bills Medicare for Annette Scanlon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annette Scanlon reassigns Medicare benefits to Transitions Counseling Services, Inc (Franklin, MA). The 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 Annette Scanlon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Annette Scanlon accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Annette Scanlon 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 Annette Scanlon was last updated on April 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Annette D Scanlon, LICSW · NPI 1396891396
Clinical provider in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since January 25, 2007.
## Identity
- **NPI:** 1396891396 (Entity type: Individual)
- **Enumerated:** January 25, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** ISW02317 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 HOPE ST, Providence, RI 02906-2001
- **Phone:** (401) 331-1350 · **Fax:** (401) 277-3366
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Transitions Counseling Services, Inc (NPI 1134517865, Franklin, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** April 10, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1396891396) · Data from the CMS NPPES public registry.