Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Ms. Diane Ellaborn, MSW, LICSW

Clinical Social Worker in Prospect Harbor, ME · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124109459

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Registry record

Entity type Individual (Type 1)

Name Ms. Diane Ellaborn

Credential MSW, LICSW

Sex Female

Practice address Prospect Harbor, ME, 04669

Phone (508) 361-1751

Fax (207) 963-9175

Enumeration date Oct 17, 2006

Last updated in NPPES Sep 5, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 104732 (MA) Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License LICSW104732 (MA) Primary

Other identifiers

Identifier	Type	State	Issuer
000000031285	Medicaid	MA	-
304462	Other	MA	MAGELLAN
140670	Other	MA	VALUE OPTIONS
P03867	Other	MA	BCBS
1012390	Other	-	BEACON
1890352	Medicaid	MA	-
118190	Other	MA	BHN
6200635	Other	MA	UBH
767846	Other	MA	TUFTS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Diane Ellaborn practice?

The practice location on file with NPPES is in Prospect Harbor, ME. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Diane Ellaborn?

The National Provider Identifier (NPI) for Diane Ellaborn is 1124109459, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-05.