| Emilie N Raistrick, LCSW | |
|
30 Houlton St, Patten, ME 04765-3035 | |
| (866) 366-5842 | |
| Not Available |
| Full Name | Emilie N Raistrick |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 30 Houlton St, Patten, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942802806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW17749 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC21114 (Maine) | Primary |
| Entity Name | Katahdin Valley Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376618546 PECOS PAC ID: 4880659903 Enrollment ID: O20041130000688 |
| Mailing Address | Practice Location Address |
|---|---|
| Emilie N Raistrick, LCSW 50 Leanni Way Unit C4, Palm Coast, FL 32137-4755 Ph: (386) 627-8156 | Emilie N Raistrick, LCSW 30 Houlton St, Patten, ME 04765-3035 Ph: (866) 366-5842 |
Beth Anne Martin, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 30 Houlton St, Patten, ME 04765 Phone: 207-528-2285 | |
Mrs. Kashana Taneshia Gaines, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30 Houlton St, Patten, ME 04765 Phone: 207-538-3700 | |
Karen Possessky, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Houlton St, Patten, ME 04765 Phone: 207-538-3700 |