Suzanne T Gosselin, LCSW | |
137 S Hiram Rd, Hiram, ME 04041-3636 | |
(207) 625-7134 | |
(207) 625-7186 |
Full Name | Suzanne T Gosselin |
---|---|
Gender | Female |
Speciality | Social Worker - School |
Location | 137 S Hiram Rd, Hiram, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972559045 | NPI | - | NPPES |
207970199 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC10742 (Maine) | Secondary |
1041S0200X | Social Worker - School | LC10742 (Maine) | Primary |
Entity Name | Sweetser |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538122445 PECOS PAC ID: 8325946213 Enrollment ID: O20031230000339 |
Mailing Address | Practice Location Address |
---|---|
Suzanne T Gosselin, LCSW 14 Gosling Road, Shapleigh, ME 04076 Ph: (207) 793-3495 | Suzanne T Gosselin, LCSW 137 S Hiram Rd, Hiram, ME 04041-3636 Ph: (207) 625-7134 |
Francesca M Demaio, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 River Rd, Hiram, ME 04041 Phone: 207-625-3100 Fax: 207-452-2164 | |
Tracy Flagg, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Sacopee Valley Middle School, 137 South Hiram Rd, Hiram, ME 04041 Phone: 207-625-2450 | |
Janet L Behnke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 River Rd, Hiram, ME 04041 Phone: 207-625-3100 |