Provider Demographics
NPI:1205992336
Name:RIOPELLE, DIANE T (MSW)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:T
Last Name:RIOPELLE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 ANDRESKI DR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03044-3020
Mailing Address - Country:US
Mailing Address - Phone:978-590-9367
Mailing Address - Fax:978-372-6173
Practice Address - Street 1:24 ANDRESKI DR
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NH
Practice Address - Zip Code:03044-3020
Practice Address - Country:US
Practice Address - Phone:978-590-9367
Practice Address - Fax:978-372-6173
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1107261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA476459000OtherMAGELLAN
MAP07898OtherBC&BS
MA1858149Medicaid
MA2169428OtherCIGNA
MA110032000AMedicaid
NH3126959Medicaid
MA1030500OtherBEACON HEALTH STRATEGIES
MA7815382OtherAETNA