| Mrs Jennifer M Crandall, LCSW | |
|
24 Sweden St, Caribou, ME 04736-2127 | |
| (207) 493-3361 | |
| (207) 492-4889 |
| Full Name | Mrs Jennifer M Crandall |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 24 Sweden St, Caribou, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073671046 | NPI | - | NPPES |
| 403910099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC13640 (Maine) | Primary |
| Entity Name | Northern Lighthouse Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831311968 PECOS PAC ID: 2769611805 Enrollment ID: O20141016000399 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer M Crandall, LCSW 24 Sweden St, Caribou, ME 04736-2127 Ph: (207) 493-3361 | Mrs Jennifer M Crandall, LCSW 24 Sweden St, Caribou, ME 04736-2127 Ph: (207) 493-3361 |
Sherri-lynn Gagnon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 92 Bennett Dr, Caribou, ME 04736 Phone: 207-493-5210 Fax: 207-444-6099 | |
Mr. James Cyr, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7 Hatch Dr Ste 120, Caribou, ME 04736 Phone: 207-496-3166 | |
Peter G Violette, MSW-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 Sweden St, Caribou, ME 04736 Phone: 207-493-3361 Fax: 207-492-4889 | |
Alexander G. Leger-kelley, MSW-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 Sweden St, Caribou, ME 04736 Phone: 207-493-3361 Fax: 207-492-4889 | |
Mary White, MSW-LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 92 Bennett Dr, Caribou, ME 04736 Phone: 207-493-5210 Fax: 207-493-5209 | |
Ms. Jean Hibbard Cashman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 Sweden St, Caribou, ME 04736 Phone: 207-498-2261 |