MS. Diane Ellaborn, MSW, LICSW
MS. Diane Ellaborn, MSW, LICSW is a Clinical Social Worker in Prospect Harbor, Maine. Qualified in 1979, 47 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.
- Years since qualifying
- 47
- Licensed in
- MA
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
173 Main StProspect Harbor, ME 04669-0067
Phone: (508) 361-1751
Fax: (207) 963-9175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence LICSW104732 (MA) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 104732 (MA) |
Record details
| NPI number | 1124109459 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSW , LICSW |
| Sole proprietor | Yes |
| NPI enumerated | October 17, 2006 |
| Last updated in NPPES | September 5, 2023 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 1979 (47 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |