| Mrs Kashana Taneshia Gaines, LCSW | |
|
30 Houlton St, Patten, ME 04765-3035 | |
| (207) 538-3700 | |
| Not Available |
| Full Name | Mrs Kashana Taneshia Gaines |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 30 Houlton St, Patten, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306292701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW005733 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC22072 (Maine) | Primary |
| Entity Name | Katahdin Valley Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376618546 PECOS PAC ID: 4880659903 Enrollment ID: O20041130000688 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kashana Taneshia Gaines, LCSW 6407 Swallowtail Dr, Statesboro, GA 30461-0724 Ph: (912) 362-5267 | Mrs Kashana Taneshia Gaines, LCSW 30 Houlton St, Patten, ME 04765-3035 Ph: (207) 538-3700 |
Beth Anne Martin, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 30 Houlton St, Patten, ME 04765 Phone: 207-528-2285 | |
Karen Possessky, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Houlton St, Patten, ME 04765 Phone: 207-538-3700 | |
Emilie N Raistrick, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30 Houlton St, Patten, ME 04765 Phone: 866-366-5842 |