Heidi Sistare, is a
Social Worker - Clinical based in Portland, Maine. Heidi Sistare is licensed to practice in Vermont (license number 089.0134405) and her current practice location is
180 Park Ave, Portland, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 874-2141.
NPI number for Heidi Sistare is 1154830073 and her current mailing address is 215 N Main St, White River Junction, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154830073.
Healthcare Provider's Profile
| Full Name | Heidi Sistare |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 180 Park Ave, Portland, Maine |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154830073
- Provider Enumeration Date: 09/22/2017
- Last Update Date: 05/12/2022
Medical Identifiers
Medical identifiers for Heidi Sistare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154830073 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAC6285 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC17651 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | 089.0134405 (Vermont) | 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. Heidi Sistare 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 |
|---|
Heidi Sistare,
215 N Main St,
White River Junction, VT 05009-0001
Ph: () - | Heidi Sistare,
180 Park Ave,
Portland, ME 04102-2957
Ph: (207) 874-2141 |
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