| Elisabeth R Corrales, LCSW | |
|
901 Washington Ave Ste 100, Portland, ME 04103-2842 | |
| (207) 871-1200 | |
| (207) 871-1232 |
| Full Name | Elisabeth R Corrales |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 901 Washington Ave Ste 100, Portland, Maine |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861003261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | MC18607 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC21464 (Maine) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Penobscot Community Health Center | 0143212670 | 135 |
| Spurwink Services Incorporated | 7810026945 | 81 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Elisabeth R Corrales, LCSW Po Box 1599, Bangor, ME 04402-1599 Ph: (207) 404-8100 | Elisabeth R Corrales, LCSW 901 Washington Ave Ste 100, Portland, ME 04103-2842 Ph: (207) 871-1200 |
Mark E. Thurlow, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 53 Baxter Blvd Ste 3, Portland, ME 04101 Phone: 603-883-0005 | |
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 | |
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 |