STANLEY O PETTEGROW LCSW
NPI 1487674859
Social Worker - Clinical in Old Town, ME

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
242 BRUNSWICK ST, OLD TOWN, ME 04468(207) 827-6128 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stanley O Pettegrow Lcsw NPPES

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

STANLEY O PETTEGROW LCSW (NPI 1487674859) is an individual clinical provider in Old Town, Maine, licensed in Maine (LC11074) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1487674859
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSTANLEY O PETTEGROWCredential: LCSW
Location Address242 BRUNSWICK STOld Town, ME 04468-1613
Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 945-5247
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 20, 2006
Last NPPES UpdateMay 5, 2021
NPPES CertifiedMay 5, 2021
NPI 1487674859 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 · LC11074
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.
242 BRUNSWICK ST, Old Town, ME 04468

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

Stanley O Pettegrow 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 ID8022109339
PECOS Enrollment IDI20070801000061
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 04468 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 20

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

Social Worker (Clinical)
242 BRUNSWICK ST
OLD TOWN, ME 04468
Nurse Practitioner (Psychiatric/Mental Health)
242 BRUNSWICK ST
OLD TOWN, ME 04468
Nurse Practitioner (Family)
242 BRUNSWICK ST
OLD TOWN, ME 04468
Physician Assistant
242 BRUNSWICK ST
OLD TOWN, ME 04468
Clinic/Center (Urgent Care)
242 BRUNSWICK ST
OLD TOWN, ME 04468
Chiropractor
242 BRUNSWICK ST
OLD TOWN, ME 04468
Family Medicine
242 BRUNSWICK ST
OLD TOWN, ME 04468
Family Medicine
242 BRUNSWICK ST
OLD TOWN, ME 04468

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 Stanley Pettegrow's NPI number?

The NPI number for Stanley Pettegrow is 1487674859. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Stanley Pettegrow located?

Stanley Pettegrow practices at 242 Brunswick St, Old Town, ME 04468. The listed phone number is (207) 827-6128.

What is Stanley Pettegrow's specialty?

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

Is Stanley Pettegrow enrolled in Medicare?

Yes. Stanley Pettegrow 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 Stanley Pettegrow accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Stanley Pettegrow 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 Stanley Pettegrow was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.