| Brenda Esther Canales, LCSW | |
|
707 Sable Oaks Dr Ste 230, South Portland, ME 04106-6954 | |
| (603) 883-0005 | |
| Not Available |
| Full Name | Brenda Esther Canales |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 707 Sable Oaks Dr Ste 230, South 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 |
|---|---|---|---|
| 1598491557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC24190 (Maine) | Primary |
| 1041C0700X | Social Worker - Clinical | SW20229 (Florida) | Secondary |
| Entity Name | Mtca Psychological Services P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740552322 PECOS PAC ID: 6406010834 Enrollment ID: O20120614000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Esther Canales, LCSW 707 Sable Oaks Dr Ste 230, South Portland, ME 04106-6954 Ph: (603) 883-0005 | Brenda Esther Canales, LCSW 707 Sable Oaks Dr Ste 230, South Portland, ME 04106-6954 Ph: (603) 883-0005 |
Grace Nevins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Gannett Dr # 3, South Portland, ME 04106 Phone: 207-536-0090 | |
Andrew Parker, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 854 Broadway, South Portland, ME 04106 Phone: 207-776-8146 Fax: 207-799-2303 | |
Ms. Sarah Beth Maxner, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 546 Preble St, South Portland, ME 04106 Phone: 207-420-8007 Fax: 207-893-2086 | |
Kane Loukas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Lydia Ln, South Portland, ME 04106 Phone: 207-523-5050 | |
Timothy W Mclaughlin, MSW, DSP, MHSS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Lydia Ln, South Portland, ME 04106 Phone: 207-956-2559 | |
Dorothy Heggie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Main St, Ste 103, South Portland, ME 04106 Phone: 207-409-9523 | |
Sherri Stockwell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Lydia Ln, South Portland, ME 04106 Phone: 207-874-1175 Fax: 207-874-1181 |