Individual provider · Type 1 NPI

Diane Ellaborn, MSW, LICSW

Clinical Social Worker · Prospect Harbor, ME

NPI number 1124109459 Active

Practice location

173 Main Street
Prospect Harbor, ME 04669-0067

Fax (207) 963-9175

Mailing address

P.o. Box 67, 173 Main Street
Prospect Harbor, ME 04669-0067

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X104732 (MA)
Clinical Social Worker Primary 1041C0700XLICSW104732 (MA)

Clinical Social Worker: 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 interpers…

About NPI 1124109459

Diane Ellaborn, MSW, LICSW's National Provider Identifier is 1124109459, issued on Oct 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Prospect Harbor, ME. The record was last updated on Sep 5, 2023.