MICHELLE PELLETIER LCSW
NPI 1871489815
Social Worker - Clinical in Pawtucket, RI

Q: What is Michelle Pelletier's NPI number?

The NPI number for Michelle Pelletier is 1871489815. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Q: What is Michelle Pelletier's specialty?

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

Active since June 16, 2025PECOS EnrolledAccepts Medicare Assignment

101-103 BACON STREET, PAWTUCKET, RI 02860(401) 722-3560(401) 722-3593 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 29, 2026, Dec 8, 2025, Jun 16, 2025 (3 updates tracked since 2025).

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About Michelle Pelletier Lcsw NPPES

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

MICHELLE PELLETIER LCSW (NPI 1871489815) is an individual clinical provider in Pawtucket, Rhode Island, licensed in Rhode Island (CSW04201) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1871489815

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMICHELLE PELLETIERCredential: LCSW

Location Address101-103 BACON STREETPawtucket, RI 02860-5542

Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912

Phone(401) 722-3560

Fax(401) 722-3593

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 16, 2025

Last NPPES UpdateApril 29, 20263 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1871489815 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 RI · CSW04201

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.

101-103 BACON STREET, Pawtucket, RI 02860

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Michelle Pelletier 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 ID4981172244

PECOS Enrollment IDI20260505002018

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 Michelle Pelletier reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gateway Healthcare Inc

Same address

Mental Health (Including Community Mental Health Center)

101-103 BACON ST
Pawtucket, RI 02860

Reassigned Medicare billing, Rhode Island enrollment
150 clinicians in this Medicare group

NPI 1821078932 (401) 722-3560

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 02860 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 $58.57 – $177.03

Typical copayment $0.00 (range $14.64 – $44.25)

Most-billed visit code NA

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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 13

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

JENNA O'BRIEN R.N.

Registered Nurse