| Christine Ann Crittenden Richard, LCSW | |
|
242 Brunswick St, Old Town, ME 04468-1613 | |
| (207) 827-6128 | |
| Not Available |
| Full Name | Christine Ann Crittenden Richard |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 242 Brunswick St, Old Town, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013343813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | MC14328 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC15652 (Maine) | Primary |
| Entity Name | Penobscot Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427169010 PECOS PAC ID: 0143212670 Enrollment ID: O20040819000698 |
| Entity Name | United Cerebral Palsy Of Northeastern Maine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265634893 PECOS PAC ID: 6507018058 Enrollment ID: O20121206000540 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Ann Crittenden Richard, LCSW Po Box 1599, Bangor, ME 04402-1599 Ph: (207) 404-8100 | Christine Ann Crittenden Richard, LCSW 242 Brunswick St, Old Town, ME 04468-1613 Ph: (207) 827-6128 |
Frank N Mcknight, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 | |
Jordan D Henry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27 Pine St Apt 1, Old Town, ME 04468 Phone: 207-478-9484 | |
Stanley O Pettegrow, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 | |
Terry L Melanson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-945-5247 Fax: 207-947-0435 | |
Abigail Zier, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1123 Main St Apt D1, Old Town, ME 04468 Phone: 207-481-6681 | |
Emma April Richford, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 253 4th St, Old Town, ME 04468 Phone: 207-991-4568 |