| Michelle L Inman Carlson, LCSW | |
| 
					28 State St Ste 5, Gorham, ME 04038-1147  | |
| (207) 222-6692 | |
| Not Available | 
| Full Name | Michelle L Inman Carlson | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 28 State St Ste 5, Gorham, Maine | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447963657 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
| Entity Name | Spurwink Services Incorporated | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760507297 PECOS PAC ID: 7810026945 Enrollment ID: O20100527000272  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michelle L Inman Carlson, LCSW 28 State St Ste 5, Gorham, ME 04038-1147 Ph: (207) 222-6692  | Michelle L Inman Carlson, LCSW 28 State St Ste 5, Gorham, ME 04038-1147 Ph: (207) 222-6692  | 
Sabrina Duong,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 Middle Jam Rd, Gorham, ME 04038 Phone: 626-884-3484  | |
Danielle Miville, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7 Railroad Ave Ste 317, Gorham, ME 04038 Phone: 207-222-0309  | |
Sami-jo Stubbs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Cedar Cir, Gorham, ME 04038 Phone: 207-274-9747  | |
Melanie Grace Mauro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 Main St, Gorham, ME 04038 Phone: 207-650-4218  | |
Kari Wagner, LMSW-CC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10 Mallison St, Gorham, ME 04038 Phone: 207-415-2591  | |
Abby M Beaumont, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Gerrys Way, Gorham, ME 04038 Phone: 207-632-0352  | |
John W Reidy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 Gordon Farms Rd, Gorham, ME 04038 Phone: 207-893-0386 Fax: 207-893-2086  |