| Ellen Quinlan, | |
|
475 Harpswell Neck Road, Harpswell, ME 04079 | |
| (207) 523-9291 | |
| Not Available |
| Full Name | Ellen Quinlan |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 475 Harpswell Neck Road, Harpswell, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033580410 | NPI | - | NPPES |
| LC4238 | Other | ME | LCSW LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC4238 (Maine) | Primary |
| Entity Name | Mainegeneral Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
| 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 Quinlan, 475 Harpswell Neck Road, Harpswell, ME 04079 Ph: (207) 523-9291 | Ellen Quinlan, 475 Harpswell Neck Road, Harpswell, ME 04079 Ph: (207) 523-9291 |
Jayne Stauch-bannish, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Aucocisco Lane, Harpswell, ME 04079 Phone: 207-406-4458 | |
Margaret Louise Daros, LCSW, LADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 Gurnet Landing Rd, Harpswell, ME 04079 Phone: 207-729-4241 |