Ms Theresa F De Vries, MSW LCSW is a 
Social Worker - Clinical based in Holden, Maine. Ms Theresa F De Vries is licensed to practice in Maine (license number LC433) and her current practice location is 
23 Copeland Hill Road, Holden, Maine. She can be reached at her office (for appointments etc.) via phone at 
(207) 989-3688.
NPI number for Ms Theresa F De Vries is 1194832865 and her current mailing address is 23 Copeland Hill Road, Holden, Maine. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194832865.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Ms Theresa F De Vries | 
|---|
| Gender | Female | 
|---|
| Speciality | Social Worker - Clinical | 
|---|
| Location | 23 Copeland Hill Road, Holden, Maine | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1194832865
 - Provider Enumeration Date: 08/25/2006
 - Last Update Date: 07/08/2007
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Ms Theresa F De Vries such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1194832865 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 1041C0700X | Social Worker - Clinical  | LC433 (Maine) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Theresa F De Vries is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Ms Theresa F De Vries, MSW LCSW 23 Copeland Hill Road, Holden, ME 04429 Ph: (207) 989-3688 | Ms Theresa F De Vries, MSW LCSW 23 Copeland Hill Road, Holden, ME 04429 Ph: (207) 989-3688 | 
		
		 
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