| Art Of Awareness, Inc. | |
|
813 Broadway South Portland ME 04106-2708 | |
| (207) 799-1331 | |
| (207) 799-1350 |
| Full Name | Art Of Awareness, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 813 Broadway, South Portland, Maine |
| Authorized Official Name and Position | Ida M. O'donnell (DIRECTOR) |
| Authorized Official Contact | 2077991331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Art Of Awareness, Inc. 813 Broadway South Portland ME 04106-2708 Ph: (207) 799-1331 | Art Of Awareness, Inc. 813 Broadway South Portland ME 04106-2708 Ph: (207) 799-1331 |
| NPI Number | 1891833760 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 05/17/2012 |
| Medicare PECOS PAC ID | 6204075435 |
|---|---|
| Medicare Enrollment ID | O20130620000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891833760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC4676 (Maine) | Primary |
| Provider Name | Emily M Roberson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154484236 PECOS PAC ID: 4688744733 Enrollment ID: I20080602000747 |
| Provider Name | John S Rich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215006572 PECOS PAC ID: 6901826460 Enrollment ID: I20130620000222 |
| Provider Name | Stephanie Rose Tranchemontagne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841407517 PECOS PAC ID: 5294014163 Enrollment ID: I20161116002175 |
| Provider Name | Thomas J Waltz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508236175 PECOS PAC ID: 3375806730 Enrollment ID: I20180417001726 |
| Provider Name | Joan E Leaman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336380575 PECOS PAC ID: 7315289204 Enrollment ID: I20190424002151 |
| Provider Name | Kaisa J Mann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821484940 PECOS PAC ID: 8224459284 Enrollment ID: I20200528002889 |
| Provider Name | Michael Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194374355 PECOS PAC ID: 1850780263 Enrollment ID: I20211104003173 |
| Provider Name | Elizabeth Siviski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003358516 PECOS PAC ID: 7315337235 Enrollment ID: I20211208003560 |
| Provider Name | Molly Tarr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740738889 PECOS PAC ID: 9234523077 Enrollment ID: I20220222000706 |
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