| Kristen Record, LMSW-CC | |
|
640 Brighton Ave, Portland, ME 04102-1047 | |
| (207) 494-8010 | |
| (207) 494-8471 |
| Full Name | Kristen Record |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 8 Years |
| Location | 640 Brighton Ave, Portland, Maine |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700351129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | MC17229 (Maine) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Maine Children's Home For Little Wanderers | 4486610201 | 3 |
| Entity Name | The Maine Children's Home For Little Wanderers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275682882 PECOS PAC ID: 4486610201 Enrollment ID: O20041203000428 |
| Entity Name | Alternative Wellness Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982046207 PECOS PAC ID: 6800014614 Enrollment ID: O20140820000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Record, LMSW-CC 275 Main St Ste 205, Biddeford, ME 04005-2432 Ph: (207) 494-8010 | Kristen Record, LMSW-CC 640 Brighton Ave, Portland, ME 04102-1047 Ph: (207) 494-8010 |
Jeffrey Blake, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22 Monument Square, #403, Portland, ME 04101 Phone: 207-749-9075 | |
Mrs. Rebecca L Drouin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Bishop St, Portland, ME 04103 Phone: 207-871-1235 | |
Alicia M Willis, CAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Bishop St, Portland, ME 04103 Phone: 207-871-1235 Fax: 207-879-6161 | |
Rhonda L Benner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Melissa Mcstay, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 370 Stevens Ave, Portland, ME 04103 Phone: 207-874-8260 | |
Albert M Durgin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Continental Dr, Portland, ME 04103 Phone: 207-797-5176 | |
Ms. Caroline Cooper Torres, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 440 Forest Ave, Portland, ME 04101 Phone: 917-280-2512 |