Kevin Garner Sample, LCSW, LADC is a
Social Worker - Clinical based in Eastport, Maine. Kevin Garner Sample is licensed to practice in Maine (license number LC15430) and her current practice location is
Eastport Health Care, 30 Boynton Street, Eastport, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 853-0185.
NPI number for Kevin Garner Sample is 1740622836 and her current mailing address is Po Box 630, Calais, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740622836.
Healthcare Provider's Profile
Full Name | Kevin Garner Sample |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | Eastport Health Care, Eastport, Maine |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740622836
- Provider Enumeration Date: 07/18/2013
- Last Update Date: 07/01/2019
Medical Identifiers
Medical identifiers for Kevin Garner Sample such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740622836 | NPI | - | NPPES |
010276859 | Medicaid | ME | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LC15430 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Garner Sample is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kevin Garner Sample, LCSW, LADC Po Box 630, Calais, ME 04619-0630 Ph: (207) 751-8712 | Kevin Garner Sample, LCSW, LADC Eastport Health Care, 30 Boynton Street, Eastport, ME 04631 Ph: (207) 853-0185 |
Reviews and Comments