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EMILIE DISNEY LCSW
NPI 1689400616
Social Worker - Clinical in Franklin, ME

Active since September 09, 2024PECOS EnrolledAccepts Medicare Assignment
80 HOG BAY RD, FRANKLIN, ME 04634(207) 479-4076 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Emilie Disney Lcsw NPPES

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

EMILIE DISNEY LCSW (NPI 1689400616) is an individual clinical provider in Franklin, Maine, licensed in Maine (LC23470) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689400616
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEMILIE DISNEYCredential: LCSW
Location Address80 HOG BAY RDFranklin, ME 04634-3149
Mailing Address80 Hog Bay RdFranklin, ME 04634-3149 · (207) 479-4076
Phone(207) 479-4076
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 9, 2024
NPPES CertifiedSeptember 8, 2024
✔ NPI 1689400616 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 · LC23470
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.
80 HOG BAY RD, Franklin, ME 04634
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Emilie Disney 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 ID4486179181
PECOS Enrollment IDI20250415002827
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 Reassignment

Medicare enrollment records show Emilie Disney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Specialty Group PA
817 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Maine enrollment
  • 45 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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 04634 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 Emilie Disney's NPI number?

The NPI number for Emilie Disney is 1689400616. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Emilie Disney located?

Emilie Disney practices at 80 Hog Bay Rd, Franklin, ME 04634. The listed phone number is (207) 479-4076.

What is Emilie Disney's specialty?

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

Is Emilie Disney enrolled in Medicare?

Yes. Emilie Disney 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 Emilie Disney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emilie Disney reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). 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 Emilie Disney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emilie Disney accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Emilie Disney 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 Emilie Disney was last updated on September 9, 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.