Kelly D Lancaster, LCSW | |
901 Washington Ave Ste 100, Portland, ME 04103-2842 | |
(207) 871-1200 | |
(207) 871-1232 |
Full Name | Kelly D Lancaster |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 901 Washington Ave Ste 100, Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164809687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC18719 (Maine) | Primary |
Entity Name | Spurwink Services Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760507297 PECOS PAC ID: 7810026945 Enrollment ID: O20100527000272 |
Mailing Address | Practice Location Address |
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Kelly D Lancaster, LCSW 901 Washington Ave Ste 100, Portland, ME 04103-2842 Ph: (207) 871-1200 | Kelly D Lancaster, LCSW 901 Washington Ave Ste 100, Portland, ME 04103-2842 Ph: (207) 871-1200 |
Jeffrey Blake, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22 Monument Square, #403, Portland, ME 04101 Phone: 207-749-9075 | |
Mrs. Rebecca L Drouin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Bishop St, Portland, ME 04103 Phone: 207-871-1235 | |
Alicia M Willis, CAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Bishop St, Portland, ME 04103 Phone: 207-871-1235 Fax: 207-879-6161 | |
Mr. Lytfi Volksmyth, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 95 High St Ste 205, Portland, ME 04101 Phone: 207-329-9987 | |
Rhonda L Benner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Melissa Mcstay, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 370 Stevens Ave, Portland, ME 04103 Phone: 207-874-8260 | |
Albert M Durgin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Continental Dr, Portland, ME 04103 Phone: 207-797-5176 |