ELLEN DUHAMEL LICSW
NPI 1578952933
Social Worker - Clinical in South Barre, MA

Active since January 22, 2015PECOS EnrolledAccepts Medicare Assignment
15 ELM ST S, SOUTH BARRE, MA 01074(978) 257-5722 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ellen Duhamel Licsw NPPES

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

ELLEN DUHAMEL LICSW (NPI 1578952933) is an individual clinical provider in South Barre, Massachusetts, licensed in Massachusetts (126838) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1578952933
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELLEN DUHAMELCredential: LICSW
Location Address15 ELM ST SSouth Barre, MA 01074-7711
Mailing AddressPo Box 96South Barre, MA 01074-0096 · (978) 257-5722
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 22, 2015
Last NPPES UpdateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
✔ NPI 1578952933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 126838
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
15 ELM ST S, South Barre, MA 01074

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

Ellen Duhamel 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.

PECOS PAC ID8123463031
PECOS Enrollment IDI20240301001905
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ellen Duhamel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
29 E MOUNTAIN ST
Worcester, MA 01606
  • Reassigned Medicare billing, Massachusetts enrollment
  • 143 clinicians in this Medicare group
Community/Behavioral Health
360 MERRIMACK ST, BUILDING 9 3RD FLOOR
Lawrence, MA 01843
  • Reassigned Medicare billing, Massachusetts enrollment
  • 18 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 01074 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 $58.86 – $177.36
Typical copayment $0.00 (range $14.71 – $44.34)
Most-billed visit code NA
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 Ellen Duhamel's NPI number?

The NPI number for Ellen Duhamel is 1578952933. It was assigned to this individual provider in the NPPES registry on January 22, 2015.

Where is Ellen Duhamel located?

Ellen Duhamel practices at 15 Elm St S, South Barre, MA 01074. The listed phone number is (978) 257-5722.

What is Ellen Duhamel's specialty?

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

Is Ellen Duhamel enrolled in Medicare?

Yes. Ellen Duhamel 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 organizations bill Medicare for Ellen Duhamel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Duhamel reassigns Medicare benefits to 2 organizations: Advocates, Inc (Worcester, MA) and Fcp, Inc (Lawrence, MA). Each 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 Ellen Duhamel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ellen Duhamel accept?

Health plans from Harvard Pilgrim Health Care list Ellen Duhamel 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 Ellen Duhamel was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.