Heather Elize Carson, LCSW | |
67 Eustis Pkwy, Waterville, ME 04901-5173 | |
(207) 873-2136 | |
Not Available |
Full Name | Heather Elize Carson |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 67 Eustis Pkwy, Waterville, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114165818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC17108 (Maine) | Primary |
1041C0700X | Social Worker - Clinical | 114726 (Massachusetts) | Secondary |
Entity Name | Kennebec Valley Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679504864 PECOS PAC ID: 7113829383 Enrollment ID: O20040127000419 |
Mailing Address | Practice Location Address |
---|---|
Heather Elize Carson, LCSW Po Box 467, Tahoe City, CA 96145-0467 Ph: (207) 504-0760 | Heather Elize Carson, LCSW 67 Eustis Pkwy, Waterville, ME 04901-5173 Ph: (207) 873-2136 |
Jon Lourens, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 67 Eustis Pkwy, Waterville, ME 04901 Phone: 207-873-2136 | |
Rodney G Berger, LCPC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 Front St # 10, Waterville, ME 04901 Phone: 207-649-0339 Fax: 207-861-0125 | |
Kaitlyn Roy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 67 Eustis Pkwy, Waterville, ME 04901 Phone: 207-873-2136 Fax: 207-660-4529 | |
Deirdre Finney Boylan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 67 Eustis Pkwy, Waterville, ME 04901 Phone: 207-873-2136 Fax: 207-872-4522 | |
Rebekah J Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 Kennedy Memorial Dr Bldg D, Waterville, ME 04901 Phone: 207-616-0499 | |
Mr. Gabriel Pinnette, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13 Railroad Sq Ste 1, Waterville, ME 04901 Phone: 207-649-9454 | |
Carol L Jollotta, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 Front St, Waterville, ME 04901 Phone: 207-314-1949 |