| Stacey M Ouellette, LCSW | |
|
9 Healthcare Dr Ste 204, Biddeford, ME 04005-9450 | |
| (207) 284-2630 | |
| Not Available |
| Full Name | Stacey M Ouellette |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 9 Healthcare Dr Ste 204, Biddeford, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508979774 | NPI | - | NPPES |
| 431955199 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC11307 (Maine) | Primary |
| Entity Name | Maine Medical Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144090 PECOS PAC ID: 9335043967 Enrollment ID: O20040331000191 |
| Entity Name | Maine Medical Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144245028 PECOS PAC ID: 9335043967 Enrollment ID: O20040331000321 |
| Entity Name | Mid Coast Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932164795 PECOS PAC ID: 5496739468 Enrollment ID: O20040623001212 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey M Ouellette, LCSW 78 Atlantic Place, South Portland, ME 04106-2316 Ph: (207) 842-7700 | Stacey M Ouellette, LCSW 9 Healthcare Dr Ste 204, Biddeford, ME 04005-9450 Ph: (207) 284-2630 |
Daniela Mason, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Springbrook Dr, Biddeford, ME 04005 Phone: 207-282-1500 Fax: 207-282-2581 | |
Mr. Matthew Edward Wells, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2 Springbrook Dr, Biddeford, ME 04005 Phone: 207-282-1500 Fax: 207-282-2581 | |
Amelia Patricia Petrucci, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 York St Ste 201a, Biddeford, ME 04005 Phone: 207-893-0386 | |
Lynn I Watson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 May St, Biddeford, ME 04005 Phone: 207-205-2560 Fax: 207-284-7861 | |
Ms. Virginia Deluca, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 497 Elm St, Biddeford, ME 04005 Phone: 180-045-5872 | |
Amber L Silva, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 State St Apt 37, Biddeford, ME 04005 Phone: 207-922-4600 Fax: 207-294-4649 | |
Ms. Patricia A Burke, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 411 Alfred St, Biddeford, ME 04005 Phone: 207-625-7012 |