Mary Lavina Fredricks, LCSW is a
Social Worker - Clinical based in Livermore Falls, Maine. Mary Lavina Fredricks is licensed to practice in Maine (license number ME129365) and her current practice location is
38 Union St, Livermore Falls, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 897-6601.
NPI number for Mary Lavina Fredricks is 1376510412 and her current mailing address is 38 Union St, Livermore Falls, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376510412.
Healthcare Provider's Profile
Full Name | Mary Lavina Fredricks |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 38 Union St, Livermore Falls, Maine |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376510412
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 11/15/2012
Medical Identifiers
Medical identifiers for Mary Lavina Fredricks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376510412 | NPI | - | NPPES |
218840099 | Medicaid | ME | |
047005 | Other | ME | ANTHEM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | ME129365 (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. Mary Lavina Fredricks 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 |
Mary Lavina Fredricks, LCSW 38 Union St, Livermore Falls, ME 04254 Ph: (207) 897-6601 | Mary Lavina Fredricks, LCSW 38 Union St, Livermore Falls, ME 04254 Ph: (207) 897-6601 |
Reviews and Comments