| Claire Oppenheim Llc | |
|
75 Pearl St Suite 410 Portland ME 04101-4101 | |
| (207) 773-0050 | |
| (207) 828-1489 |
| Full Name | Claire Oppenheim Llc |
|---|---|
| Speciality | Social Worker |
| Location | 75 Pearl St, Portland, Maine |
| Authorized Official Name and Position | Claire Oppenheim (OWNER) |
| Authorized Official Contact | 2077730050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Claire Oppenheim Llc 75 Pearl St Suite 410 Portland ME 04101-4101 Ph: (207) 773-0050 | Claire Oppenheim Llc 75 Pearl St Suite 410 Portland ME 04101-4101 Ph: (207) 773-0050 |
| NPI Number | 1144466152 |
|---|---|
| Provider Enumeration Date | 12/22/2008 |
| Last Update Date | 12/22/2008 |
| Medicare PECOS PAC ID | 9830252360 |
|---|---|
| Medicare Enrollment ID | O20090109000544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144466152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Claire Oppenheim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538150438 PECOS PAC ID: 8820068745 Enrollment ID: I20040728001204 |
| Provider Name | Ken Raffel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952392847 PECOS PAC ID: 6709821069 Enrollment ID: I20050627001080 |
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