| Mrs Amie Lyn Hasham, LCSW | |
|
52 Christian Ridge Rd, Ellsworth, ME 04605-2116 | |
| (207) 667-5357 | |
| (207) 288-7024 |
| Full Name | Mrs Amie Lyn Hasham |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 26 Years |
| Location | 52 Christian Ridge Rd, Ellsworth, 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 |
|---|---|---|---|
| 1265528392 | NPI | - | NPPES |
| LC10709 | Other | ME | MAINE LICENSE |
| 411810099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC10709 (Maine) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health And Counseling Services | 4880658590 | 12 |
| Entity Name | Community Health And Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457415184 PECOS PAC ID: 4880658590 Enrollment ID: O20041112000766 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amie Lyn Hasham, LCSW 52 Christian Ridge Rd, Ellsworth, ME 04605-2116 Ph: (207) 667-5357 | Mrs Amie Lyn Hasham, LCSW 52 Christian Ridge Rd, Ellsworth, ME 04605-2116 Ph: (207) 667-5357 |
Roberta Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 Water St, Ellsworth, ME 04605 Phone: 207-667-2061 | |
Suzanne Costallos, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 710 Bucksport Rd, Ellsworth, ME 04605 Phone: 207-667-6890 Fax: 207-667-6457 | |
Heather K Gosselin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16 Kids Peace Way, Ellsworth, ME 04605 Phone: 207-664-1261 Fax: 207-412-0612 | |
Ms. Sally Linda Smith, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 194 Main Street, Ellsworth, ME 04605 Phone: 207-667-4042 | |
Ms. Joyce E. Kilmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 Water St, Ellsworth, ME 04605 Phone: 207-667-2061 Fax: 207-667-8624 | |
Dr. Thomas Duane Hansen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 210 Main St, Suite 2, Ellsworth, ME 04605 Phone: 207-664-0097 Fax: 207-664-0097 |