| Ellen H Theodores, LCSW | |
| 153b Park Rowe, Brunswick, ME 04011 | |
| (207) 245-5087 | |
| Not Available | 
| Full Name | Ellen H Theodores | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 153b Park Rowe, Brunswick, Maine | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801197827 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC14014 (Maine) | Primary | 
| Entity Name | Maine Medical Partners | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467477349 PECOS PAC ID: 9335043967 Enrollment ID: O20031125000026 | 
| Entity Name | Mainehealth | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639194509 PECOS PAC ID: 7517860588 Enrollment ID: O20040206000472 | 
| Entity Name | Maine Medical Partners | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1598780447 PECOS PAC ID: 9335043967 Enrollment ID: O20040220000847 | 
| Entity Name | Maine Medical Partners | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134144090 PECOS PAC ID: 9335043967 Enrollment ID: O20040331000191 | 
| Entity Name | Mainehealth | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ellen H Theodores, LCSW 153b Park Rowe, Brunswick, ME 04011 Ph: (207) 245-5087 | Ellen H Theodores, LCSW 153b Park Rowe, Brunswick, ME 04011 Ph: (207) 245-5087 | 
| Margaret E Armstrong, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 329 Bath Rd, Brunswick, ME 04011 Phone: 800-434-3000 | |
| Mr. Geoffry Smith, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 Maine St, Brunswick, ME 04011 Phone: 207-720-0558 | |
| Mr. Timothy Alan Eachus, LMSWCC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 153 Park Row Ste 103, Brunswick, ME 04011 Phone: 207-607-6461 | |
| Ms. Judith Barbara Maloney, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6 Cumberland Street, Brunswick, ME 04011 Phone: 207-729-1305 Fax: 207-729-8579 | |
| Paula Anderson,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Maine St, Suite 202, Brunswick, ME 04011 Phone: 207-373-0620 Fax: 207-373-0628 | |
| Melissa Ridlon,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Maine St, Suite 202, Brunswick, ME 04011 Phone: 207-373-0620 Fax: 207-373-0628 | |
| Darcy M Baggett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 78 Old Pennellville Rd, Brunswick, ME 04011 Phone: 207-841-0527 |