| Ilse Wentworth Larrivee, LCSW | |
|
30 Chestnut St # 25, Camden, ME 04843-2210 | |
| (207) 631-9235 | |
| Not Available |
| Full Name | Ilse Wentworth Larrivee |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 30 Chestnut St # 25, Camden, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265746077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC13719 (Maine) | Primary |
| Entity Name | Health Affiliates Maine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Ilse Wentworth Larrivee, LCSW 27 Peacedale Dr, Northport, ME 04849-3252 Ph: (207) 930-5992 | Ilse Wentworth Larrivee, LCSW 30 Chestnut St # 25, Camden, ME 04843-2210 Ph: (207) 631-9235 |
Jon M St. Peter, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 21 Elm St Ste 302, Camden, ME 04843 Phone: 207-491-0502 | |
Charles Edward O'brien, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 62 Bay View St, Camden, ME 04843 Phone: 207-380-3899 | |
Ms. Jan Summers, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 69 Elm St, Camden, ME 04843 Phone: 207-236-7947 | |
Susan Conover, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Spring St, Camden, ME 04843 Phone: 207-236-3342 | |
Maureen Elizabeth Mccarthy-darling, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 39 Mechanic St, Suite 222, Camden, ME 04843 Phone: 207-975-5200 Fax: 208-723-4321 | |
Jennifer Brown Walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21 Elm St, Camden, ME 04843 Phone: 207-542-9339 Fax: 207-236-0135 |