| Sweetser | |
|
50 Moody Street Saco ME 04072 | |
| (800) 434-3000 | |
| (207) 294-4649 |
| Full Name | Sweetser |
|---|---|
| Speciality | Clinic/Center |
| Location | 50 Moody Street, Saco, Maine |
| Authorized Official Name and Position | Jayne Van Bramer (CEO) |
| Authorized Official Contact | 2072944651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweetser 50 Moody Street Saco ME 04072 Ph: (800) 434-3000 | Sweetser 50 Moody Street Saco ME 04072 Ph: (800) 434-3000 |
| NPI Number | 1538122445 |
|---|---|
| Provider Enumeration Date | 04/11/2006 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Medicare PECOS PAC ID | 8325946213 |
|---|---|
| Medicare Enrollment ID | O20031230000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538122445 | NPI | - | NPPES |
| 1538122445 | Medicaid | ME |
| Provider Name | Robert P Fowler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740417567 PECOS PAC ID: 8527957331 Enrollment ID: I20040311000361 |
| Provider Name | Jeffrey P Wilber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003837782 PECOS PAC ID: 9032193214 Enrollment ID: I20040615001504 |
| Provider Name | Nirvana P Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770670176 PECOS PAC ID: 5294711107 Enrollment ID: I20040629001266 |
| Provider Name | Christopher S Morse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083779672 PECOS PAC ID: 8921075631 Enrollment ID: I20040913000955 |
| Provider Name | Margaret E Gonzales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356452759 PECOS PAC ID: 5193788818 Enrollment ID: I20041104000376 |
| Provider Name | Mary C Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720264336 PECOS PAC ID: 3971551029 Enrollment ID: I20050105001059 |
| Provider Name | Sylvia A Pond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518976208 PECOS PAC ID: 9335181510 Enrollment ID: I20050527000133 |
| Provider Name | Rosemary B Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669768800 PECOS PAC ID: 2062454283 Enrollment ID: I20050527000449 |
| Provider Name | Jeffrey S Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811928617 PECOS PAC ID: 3375585474 Enrollment ID: I20050531000365 |
| Provider Name | Keri J Rothermel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285691428 PECOS PAC ID: 0042253759 Enrollment ID: I20050603000537 |
| Provider Name | Lauren Como |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578549655 PECOS PAC ID: 1658314273 Enrollment ID: I20050606000292 |
| Provider Name | William F Macomber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760441372 PECOS PAC ID: 4082658588 Enrollment ID: I20050615000773 |
| Provider Name | Marc I Kaplan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871513267 PECOS PAC ID: 4880639939 Enrollment ID: I20050621000096 |
| Provider Name | David J Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023114881 PECOS PAC ID: 8628014115 Enrollment ID: I20050706000944 |
| Provider Name | Janet A Zalanskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609886340 PECOS PAC ID: 0143110833 Enrollment ID: I20050712000663 |
| Provider Name | Mary T Bohon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346286440 PECOS PAC ID: 3779511571 Enrollment ID: I20050802001097 |
| Provider Name | Karen Jean Heroux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497831358 PECOS PAC ID: 5193734267 Enrollment ID: I20060418000488 |
| Provider Name | Katharine Ingwersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356350961 PECOS PAC ID: 0941207344 Enrollment ID: I20061027000174 |
| Provider Name | Richard E Woodcock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861589491 PECOS PAC ID: 1153320205 Enrollment ID: I20061219000105 |
| Provider Name | Linda R Mccord |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528283124 PECOS PAC ID: 9335233667 Enrollment ID: I20070918000426 |
| Provider Name | David E Walter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487868394 PECOS PAC ID: 1456425206 Enrollment ID: I20080729000083 |
| Provider Name | Daryl-ann Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124184015 PECOS PAC ID: 6800944745 Enrollment ID: I20090501000307 |
| Provider Name | Cynthia M Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225046790 PECOS PAC ID: 8224183769 Enrollment ID: I20090904000028 |
| Provider Name | Wilma E Wake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285790238 PECOS PAC ID: 1254477482 Enrollment ID: I20091001000468 |
| Provider Name | Thomas A Coffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942495106 PECOS PAC ID: 6709923287 Enrollment ID: I20091103000156 |
| Provider Name | Tara K Pullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245435007 PECOS PAC ID: 9133264054 Enrollment ID: I20100303000686 |
| Provider Name | Andrea L Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861723462 PECOS PAC ID: 4688719099 Enrollment ID: I20100309000539 |
| Provider Name | Christine E Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114986684 PECOS PAC ID: 5597890962 Enrollment ID: I20100324000451 |
| Provider Name | Denise J Boisse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902137045 PECOS PAC ID: 0244367076 Enrollment ID: I20100427000212 |
| Provider Name | Roberta Laurie S Weber-taft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679799530 PECOS PAC ID: 6406984202 Enrollment ID: I20100517000034 |
| Provider Name | Laura Bertulli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548472848 PECOS PAC ID: 7012102916 Enrollment ID: I20101117000170 |
| Provider Name | Cheryl R. Drda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871812107 PECOS PAC ID: 8527191634 Enrollment ID: I20101210000505 |
| Provider Name | Roland Sawyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225216773 PECOS PAC ID: 2466640347 Enrollment ID: I20101220000080 |
| Provider Name | Cheria L Clow Rollins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104028125 PECOS PAC ID: 6608055314 Enrollment ID: I20110127000398 |
| Provider Name | Keith W Burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295846566 PECOS PAC ID: 5597942417 Enrollment ID: I20110602000026 |
| Provider Name | Aisha E Naimey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215134606 PECOS PAC ID: 4486831674 Enrollment ID: I20110616000292 |
| Provider Name | Elizabeth A Cleverly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912130485 PECOS PAC ID: 8325210628 Enrollment ID: I20111011000031 |
| Provider Name | Holly J Billings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649403965 PECOS PAC ID: 4587836341 Enrollment ID: I20111020000575 |
| Provider Name | Sharon L Audet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093004038 PECOS PAC ID: 2062686660 Enrollment ID: I20111116000771 |
| Provider Name | Susan S Stickney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619987435 PECOS PAC ID: 4183898133 Enrollment ID: I20111201000172 |
| Provider Name | John Edward Yeomans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720164106 PECOS PAC ID: 5294992145 Enrollment ID: I20120203000250 |
| Provider Name | Kathleen E Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871786251 PECOS PAC ID: 1850550104 Enrollment ID: I20120306001043 |
| Provider Name | Joel B Makowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871734657 PECOS PAC ID: 6204085095 Enrollment ID: I20121011000689 |
| Provider Name | Kenneth B Liberty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124371778 PECOS PAC ID: 8820240112 Enrollment ID: I20121213000188 |
| Provider Name | Linda S Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245355734 PECOS PAC ID: 4082780341 Enrollment ID: I20130806000645 |
| Provider Name | Danielle M Rowland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538455167 PECOS PAC ID: 5193969046 Enrollment ID: I20130917000115 |
| Provider Name | Kathleen Foss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689914830 PECOS PAC ID: 1557595402 Enrollment ID: I20131008000525 |
| Provider Name | Terri Wentworth Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881872430 PECOS PAC ID: 7517191307 Enrollment ID: I20131010000566 |
| Provider Name | Sadie S Fowler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245517366 PECOS PAC ID: 0042444556 Enrollment ID: I20131015001953 |
| Provider Name | Timothy G True |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831310010 PECOS PAC ID: 4082840772 Enrollment ID: I20131203000601 |
| Provider Name | Margaret Norbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497188296 PECOS PAC ID: 8628204260 Enrollment ID: I20131204000286 |
| Provider Name | Susannah G Harnden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285931584 PECOS PAC ID: 7810126117 Enrollment ID: I20140207001398 |
| Provider Name | Willie-joe C Liberty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215224233 PECOS PAC ID: 8820229099 Enrollment ID: I20140401001792 |
| Provider Name | Stephanie P Riehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942641329 PECOS PAC ID: 7214151034 Enrollment ID: I20140618001579 |
| Provider Name | Allison K Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982011086 PECOS PAC ID: 1254550171 Enrollment ID: I20140908002107 |
| Provider Name | Laura-lea B Langlais |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881900165 PECOS PAC ID: 2668692138 Enrollment ID: I20141003002110 |
| Provider Name | Tammy Lee Trask |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578862074 PECOS PAC ID: 8820218019 Enrollment ID: I20141010001520 |
| Provider Name | Ellen E Smith-erb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851714307 PECOS PAC ID: 5193945202 Enrollment ID: I20141013000227 |
| Provider Name | Wendy Susan Ray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972734531 PECOS PAC ID: 7214159359 Enrollment ID: I20141105001548 |
| Provider Name | Priscilla L Girard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730414871 PECOS PAC ID: 6507180742 Enrollment ID: I20150119000252 |
| Provider Name | Rita A Mcphillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659431773 PECOS PAC ID: 1153632963 Enrollment ID: I20150622000284 |
| Provider Name | Amanda M Deluck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972986826 PECOS PAC ID: 5496062390 Enrollment ID: I20150909001963 |
| Provider Name | Kira M Sawyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215325584 PECOS PAC ID: 3274841820 Enrollment ID: I20150930002302 |
| Provider Name | Thomas E Dinsmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992089395 PECOS PAC ID: 4880903095 Enrollment ID: I20151028002063 |
| Provider Name | Mary K Muthig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508238148 PECOS PAC ID: 9931409323 Enrollment ID: I20151208002185 |
| Provider Name | Jeremy J Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720308422 PECOS PAC ID: 1254636665 Enrollment ID: I20160223002001 |
| Provider Name | Susan A Farid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073548566 PECOS PAC ID: 4981608775 Enrollment ID: I20160302000440 |
| Provider Name | Cynthia E Sturm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952658890 PECOS PAC ID: 6507155520 Enrollment ID: I20160516000488 |
| Provider Name | Carin L Merrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225479348 PECOS PAC ID: 5294016564 Enrollment ID: I20161228000462 |
| Provider Name | Laura Plunkett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114326493 PECOS PAC ID: 5193006476 Enrollment ID: I20161228000519 |
| Provider Name | Lindsay A Susi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497163869 PECOS PAC ID: 7719260678 Enrollment ID: I20170220001958 |
| Provider Name | Melissa M Lebreton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427494517 PECOS PAC ID: 6800172735 Enrollment ID: I20170407001437 |
| Provider Name | Elizabeth S. Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376945469 PECOS PAC ID: 1658657978 Enrollment ID: I20170420001536 |
| Provider Name | Charles Harold Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790102093 PECOS PAC ID: 1951672955 Enrollment ID: I20170809003798 |
| Provider Name | Jena E Farrar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871917450 PECOS PAC ID: 1456627959 Enrollment ID: I20171030000094 |
| Provider Name | Abbie M Rohde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760814487 PECOS PAC ID: 2961769450 Enrollment ID: I20171208002309 |
| Provider Name | Bonnie M Lemieux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073061321 PECOS PAC ID: 8729341300 Enrollment ID: I20180412001217 |
| Provider Name | Chase E Cardurns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609378009 PECOS PAC ID: 9032472121 Enrollment ID: I20180425000565 |
| Provider Name | Chesley Ah Flotten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497259063 PECOS PAC ID: 2567726557 Enrollment ID: I20180427000097 |
| Provider Name | Barbara A Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063822864 PECOS PAC ID: 8820352040 Enrollment ID: I20180515002406 |
| Provider Name | Martha K Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891280855 PECOS PAC ID: 6507115466 Enrollment ID: I20180827000763 |
| Provider Name | Tressa L. Philbrook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700222700 PECOS PAC ID: 8527318195 Enrollment ID: I20180830002933 |
| Provider Name | Kimberly B Luchini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962863050 PECOS PAC ID: 9739424938 Enrollment ID: I20181217000974 |
| Provider Name | Barbara J Frank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023336757 PECOS PAC ID: 6103163811 Enrollment ID: I20190201002504 |
| Provider Name | Shayne J Croy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477976397 PECOS PAC ID: 2567700933 Enrollment ID: I20190208002925 |
| Provider Name | Suzanne B Dionne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699023267 PECOS PAC ID: 4789925645 Enrollment ID: I20190403001286 |
| Provider Name | Laura E Sproch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912256074 PECOS PAC ID: 1658523626 Enrollment ID: I20190409000767 |
| Provider Name | Jeanne H Croy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699113282 PECOS PAC ID: 8921349465 Enrollment ID: I20190409003281 |
| Provider Name | Kimberly G Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902090715 PECOS PAC ID: 5597008516 Enrollment ID: I20190515000732 |
| Provider Name | Hollie-anne Stanwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396397899 PECOS PAC ID: 8022347749 Enrollment ID: I20190905002192 |
| Provider Name | Bethany M Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861875734 PECOS PAC ID: 3678802170 Enrollment ID: I20190909002820 |
| Provider Name | Anne K.d. Caiazzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093869232 PECOS PAC ID: 8921430661 Enrollment ID: I20191118002029 |
| Provider Name | Sundaram D Stanly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750707741 PECOS PAC ID: 3577995224 Enrollment ID: I20191118002470 |
| 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 | Pauliina A Pope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780051201 PECOS PAC ID: 4183047137 Enrollment ID: I20200708003662 |
| Provider Name | Anne M Rogerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255965190 PECOS PAC ID: 9032539614 Enrollment ID: I20201020002836 |
| Provider Name | Cheryl French |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669928313 PECOS PAC ID: 3870904659 Enrollment ID: I20201130002283 |
| Provider Name | Jennifer D Hodgkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053867044 PECOS PAC ID: 2769893262 Enrollment ID: I20201203002527 |
| Provider Name | Teri R Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376881375 PECOS PAC ID: 3779995675 Enrollment ID: I20201217002505 |
| Provider Name | Ashley J Wilock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043539703 PECOS PAC ID: 6002228848 Enrollment ID: I20201218001348 |
| Provider Name | Helen E Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467691105 PECOS PAC ID: 1658785118 Enrollment ID: I20210126000261 |
| Provider Name | Peter Lindblom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831667302 PECOS PAC ID: 4486069838 Enrollment ID: I20210216002719 |
| Provider Name | Hannah B Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861997884 PECOS PAC ID: 5597171348 Enrollment ID: I20210303000789 |
| Provider Name | Hayley E Giguere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295369619 PECOS PAC ID: 1951718444 Enrollment ID: I20210330000768 |
| Provider Name | Sandra J Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831668854 PECOS PAC ID: 9335558600 Enrollment ID: I20210518000650 |
| Provider Name | Sonya M Keene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033585237 PECOS PAC ID: 8123429347 Enrollment ID: I20210625000817 |
| Provider Name | Kimberly Jean Hanscom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538672761 PECOS PAC ID: 2365846870 Enrollment ID: I20210805001835 |
| Provider Name | Kimberly H Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366864688 PECOS PAC ID: 6204232994 Enrollment ID: I20210903001385 |
| Provider Name | Sonya S Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841963170 PECOS PAC ID: 8527464221 Enrollment ID: I20210903001627 |
| Provider Name | Kristen L Cianelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003202110 PECOS PAC ID: 4789075201 Enrollment ID: I20211216002764 |
| Provider Name | Ericka Dubois |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689976599 PECOS PAC ID: 1355733684 Enrollment ID: I20220119001668 |
| Provider Name | Stephen A Stark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881246486 PECOS PAC ID: 1759774490 Enrollment ID: I20220202000382 |
| Provider Name | Kasey M Villeneuve |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316589492 PECOS PAC ID: 8921494923 Enrollment ID: I20220330002695 |
| Provider Name | Emily S Ostrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962819953 PECOS PAC ID: 5294121299 Enrollment ID: I20220330002760 |
| Provider Name | Lindsey Dawn Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841714102 PECOS PAC ID: 3476815713 Enrollment ID: I20220411000384 |
| Provider Name | Chelsea V Short |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023512779 PECOS PAC ID: 9931586187 Enrollment ID: I20220510000905 |
| Provider Name | Patricia Demasky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528361953 PECOS PAC ID: 5698034692 Enrollment ID: I20220720002690 |
| Provider Name | Chantel M Cote |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689193567 PECOS PAC ID: 4486039898 Enrollment ID: I20220921003367 |
| Provider Name | Phoebe S Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174126155 PECOS PAC ID: 2466829411 Enrollment ID: I20221103000892 |
| Provider Name | Anissa E Sanborn-malague |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649537481 PECOS PAC ID: 3678839677 Enrollment ID: I20221205002119 |
| Provider Name | Noel D Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679196315 PECOS PAC ID: 8224409263 Enrollment ID: I20230130001535 |
| Provider Name | Amanda M Chambers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962826073 PECOS PAC ID: 8123491073 Enrollment ID: I20230224000395 |
| Provider Name | Stephanie Gaddar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912554130 PECOS PAC ID: 3274906045 Enrollment ID: I20230224002011 |
| Provider Name | Rachel M Buck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508340670 PECOS PAC ID: 8224483599 Enrollment ID: I20231006002518 |
| Provider Name | Sherie Daigle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386217651 PECOS PAC ID: 2163879438 Enrollment ID: I20231108000386 |
| Provider Name | Monique M Murray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164772547 PECOS PAC ID: 2062860877 Enrollment ID: I20240117004652 |
| Provider Name | Kristine D Gile |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821232828 PECOS PAC ID: 0941653935 Enrollment ID: I20240125003416 |
| Provider Name | Taylor L Hodgdon-mcburney |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427538693 PECOS PAC ID: 8729431788 Enrollment ID: I20240126001027 |
| Provider Name | Elizabeth M Bell-jalbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316450083 PECOS PAC ID: 5395198030 Enrollment ID: I20240129003516 |
| Provider Name | Sherri A Brooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619360781 PECOS PAC ID: 7517316961 Enrollment ID: I20240201000177 |
| Provider Name | Elizabeth M Meyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588820252 PECOS PAC ID: 9931542057 Enrollment ID: I20240206001952 |
| Provider Name | Honnie D Goode |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932598588 PECOS PAC ID: 5890138929 Enrollment ID: I20240206002492 |
| Provider Name | Michael A Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538558341 PECOS PAC ID: 2466895412 Enrollment ID: I20240207001821 |
| Provider Name | Stephanie C Francis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750642252 PECOS PAC ID: 0648628453 Enrollment ID: I20240209000120 |
| Provider Name | Lois G Leblanc |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669502605 PECOS PAC ID: 1658729454 Enrollment ID: I20240209000156 |
| Provider Name | Yoli R Gallagher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699735142 PECOS PAC ID: 9830547025 Enrollment ID: I20240209000224 |
| Provider Name | Danielle F Duckworth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922658913 PECOS PAC ID: 4183072374 Enrollment ID: I20240210000038 |
| Provider Name | Michelle N Gaspar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295075463 PECOS PAC ID: 0345698437 Enrollment ID: I20240213000608 |
| Provider Name | Jennifer A Baldwin-mackey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750344222 PECOS PAC ID: 7719336395 Enrollment ID: I20240214000754 |
| Provider Name | Marcia L Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275968752 PECOS PAC ID: 1759739741 Enrollment ID: I20240214001034 |
| Provider Name | John P Soldano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881873545 PECOS PAC ID: 5092163188 Enrollment ID: I20240222004030 |
| Provider Name | Sandra J Qualey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174876668 PECOS PAC ID: 0749639821 Enrollment ID: I20240223002612 |
| Provider Name | B. Anne Perkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700869047 PECOS PAC ID: 4587013248 Enrollment ID: I20240223004009 |
| Provider Name | John W Hunter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134344591 PECOS PAC ID: 8820447410 Enrollment ID: I20240227002134 |
| Provider Name | Ellen B Gluckman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427496066 PECOS PAC ID: 5698110955 Enrollment ID: I20240227002376 |
| Provider Name | David C Boothby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326234055 PECOS PAC ID: 4789033887 Enrollment ID: I20240228002257 |
| Provider Name | Maryanna L Aldunate |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205173606 PECOS PAC ID: 2961851621 Enrollment ID: I20240228002594 |
| Provider Name | Penny A Gauvin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437466430 PECOS PAC ID: 9436508199 Enrollment ID: I20240229000315 |
| Provider Name | Cue Saremi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689886483 PECOS PAC ID: 0547611378 Enrollment ID: I20240229000710 |
| Provider Name | Joey Rossignol |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396367223 PECOS PAC ID: 0446609036 Enrollment ID: I20240229001594 |
| Provider Name | Linda C Reed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023177243 PECOS PAC ID: 4688023047 Enrollment ID: I20240304000211 |
| Provider Name | Amy D Saunders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245427244 PECOS PAC ID: 0042669640 Enrollment ID: I20240314002173 |
| Provider Name | Barbara S Erkson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881987501 PECOS PAC ID: 1153770235 Enrollment ID: I20240314002694 |
| Provider Name | Keith D Danner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043453483 PECOS PAC ID: 2466898218 Enrollment ID: I20240314002922 |
| Provider Name | Brenda C Gilbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679903025 PECOS PAC ID: 7810345626 Enrollment ID: I20240314003028 |
| Provider Name | Linda A Cousens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528462926 PECOS PAC ID: 3577900836 Enrollment ID: I20240321002942 |
| Provider Name | Travis Wiggett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598812844 PECOS PAC ID: 4183062938 Enrollment ID: I20240329001723 |
| Provider Name | Jeffrey A Mccarthy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538103726 PECOS PAC ID: 5294183315 Enrollment ID: I20240401000977 |
| Provider Name | Dean Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992250328 PECOS PAC ID: 6901244573 Enrollment ID: I20240402000456 |
| Provider Name | Miranda C Kierstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093585127 PECOS PAC ID: 8921447350 Enrollment ID: I20240418002352 |
| Provider Name | Alijah B Sheer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528779279 PECOS PAC ID: 7719335520 Enrollment ID: I20240503001535 |
| Provider Name | Peggy S Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518296268 PECOS PAC ID: 4486003431 Enrollment ID: I20240506000124 |
| Provider Name | Brian R Richmond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538180971 PECOS PAC ID: 2567811284 Enrollment ID: I20240506004072 |
| Provider Name | Megan L Fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477272391 PECOS PAC ID: 8426499377 Enrollment ID: I20240509003099 |
| Provider Name | Gregory L Stine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457438509 PECOS PAC ID: 3779931894 Enrollment ID: I20240510002847 |
| Provider Name | Teresa L King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992893564 PECOS PAC ID: 4688015431 Enrollment ID: I20240511000138 |
| Provider Name | Sarah Lk Pardue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598094112 PECOS PAC ID: 2769833508 Enrollment ID: I20240516000914 |
| Provider Name | B. Pascha Warren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679605760 PECOS PAC ID: 8729429998 Enrollment ID: I20240520000269 |
| Provider Name | Gracelyn M Maguire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093121501 PECOS PAC ID: 9739621780 Enrollment ID: I20240606001007 |
| Provider Name | Travis C Durepo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134470438 PECOS PAC ID: 4284084195 Enrollment ID: I20240612000923 |
| Provider Name | Carmela M Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316358625 PECOS PAC ID: 6305294315 Enrollment ID: I20240612000984 |
| Provider Name | Alison L Zubrod |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336782242 PECOS PAC ID: 4183073851 Enrollment ID: I20240617000307 |
| Provider Name | Sarah Elizabeth Penley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316607732 PECOS PAC ID: 5991248031 Enrollment ID: I20240618002101 |
| Provider Name | Jenna L Joeckel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609532415 PECOS PAC ID: 8325581242 Enrollment ID: I20240620001680 |
| Provider Name | Mallyssa C Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649988510 PECOS PAC ID: 9638612245 Enrollment ID: I20240624000887 |
| Provider Name | Christine A Sanborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104575323 PECOS PAC ID: 1052854551 Enrollment ID: I20240625000089 |
| Provider Name | Vanessa D Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679012876 PECOS PAC ID: 6002264850 Enrollment ID: I20240627000231 |
| Provider Name | Shelby M Pelletier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154684843 PECOS PAC ID: 5395289607 Enrollment ID: I20240627002251 |
| Provider Name | Eric D Rollins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962888081 PECOS PAC ID: 3072058411 Enrollment ID: I20240710002999 |
| Provider Name | Catherine L Soden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891778833 PECOS PAC ID: 0648628834 Enrollment ID: I20240716004613 |
| Provider Name | Ellen C Haney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831260926 PECOS PAC ID: 7315482015 Enrollment ID: I20240717001284 |
| Provider Name | Julie A Marcotte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295157758 PECOS PAC ID: 6709321425 Enrollment ID: I20240717001933 |
| Provider Name | Craig A Cardamone |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497161061 PECOS PAC ID: 3870039597 Enrollment ID: I20240718001120 |
| Provider Name | Rose Heikkinen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861866709 PECOS PAC ID: 6608224712 Enrollment ID: I20240720000011 |
| Provider Name | Joann Fuller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275803702 PECOS PAC ID: 6709236151 Enrollment ID: I20240724003962 |
| Provider Name | Allison A Rice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851900336 PECOS PAC ID: 0749727287 Enrollment ID: I20240801004418 |
| Provider Name | Carolyn A Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760607220 PECOS PAC ID: 6305385105 Enrollment ID: I20240824000127 |
| Provider Name | Arthenaea M Westwood-perkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770989709 PECOS PAC ID: 2860932811 Enrollment ID: I20240905002348 |
| Provider Name | Tonya J Labbe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124389465 PECOS PAC ID: 2264972660 Enrollment ID: I20240912001287 |
| Provider Name | Caitlyn B Farrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316373590 PECOS PAC ID: 6608307194 Enrollment ID: I20241008003680 |
| Provider Name | Anthonie J Phillis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750917027 PECOS PAC ID: 6901338383 Enrollment ID: I20241010003325 |
| Provider Name | Taylor M Kemp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821564170 PECOS PAC ID: 9537691514 Enrollment ID: I20241015003368 |
| Provider Name | Mariah L Matson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245938521 PECOS PAC ID: 1850824368 Enrollment ID: I20241023000024 |
| Provider Name | Bridget M O'keefe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457019432 PECOS PAC ID: 7214460252 Enrollment ID: I20241029001925 |
| Provider Name | Corinne G Waters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548773120 PECOS PAC ID: 2466988225 Enrollment ID: I20241204001776 |
| Provider Name | Linda J Berg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356925507 PECOS PAC ID: 4385170166 Enrollment ID: I20241204002667 |
| Provider Name | Christine G Grundy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538771472 PECOS PAC ID: 7719413491 Enrollment ID: I20241204002808 |
| Provider Name | Eva R Blethen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265721682 PECOS PAC ID: 6608302914 Enrollment ID: I20241210004136 |
| Provider Name | John W Swasey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033686456 PECOS PAC ID: 7810424892 Enrollment ID: I20250103000309 |
| Provider Name | Michael J Andrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689825770 PECOS PAC ID: 4688102866 Enrollment ID: I20250115003724 |
| Provider Name | Karin I Heim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639535644 PECOS PAC ID: 2163950213 Enrollment ID: I20250116003106 |
| Provider Name | Karen L Walter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720563687 PECOS PAC ID: 9739617820 Enrollment ID: I20250117000955 |
| Provider Name | Mimi A Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275181083 PECOS PAC ID: 1557890654 Enrollment ID: I20250117001636 |
| Provider Name | Lisa M Lavoie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376016915 PECOS PAC ID: 0042749822 Enrollment ID: I20250123001172 |
| Provider Name | Cheryl A Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558000869 PECOS PAC ID: 5092244889 Enrollment ID: I20250123001399 |
| Provider Name | Theresa M Mullins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336881622 PECOS PAC ID: 0143759944 Enrollment ID: I20250123001994 |
| Provider Name | Meghan M Mccrillis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255057691 PECOS PAC ID: 4688197007 Enrollment ID: I20250326003094 |
| Provider Name | Genevieve M Palmatier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194383208 PECOS PAC ID: 6800319187 Enrollment ID: I20250327000867 |
| Provider Name | Ann E Chaisson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750940599 PECOS PAC ID: 0547785966 Enrollment ID: I20250418000219 |
| Provider Name | Julie Kristen York |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003140740 PECOS PAC ID: 6305362179 Enrollment ID: I20250424003272 |
| Provider Name | Suzanne T Gosselin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972559045 PECOS PAC ID: 6507383874 Enrollment ID: I20250509001211 |
| Provider Name | Rebecca R Vieira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255972204 PECOS PAC ID: 2466970884 Enrollment ID: I20250519002724 |
Greentopia Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Promenade Ave, Saco, ME 04072 Phone: 207-205-1943 | |
Oceanside Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Main St, Suite 302 & 303, Saco, ME 04072 Phone: 207-571-9923 Fax: 207-571-9927 | |
Outlook Ccs, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 74 Beach St, Saco, ME 04072 Phone: 207-590-2728 Fax: 207-835-4670 | |
Inner Warrior, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Main St Ste 1201c, Saco, ME 04072 Phone: 207-294-1718 | |
Community Choice Behavioral Health, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Main St Ste 1509, Saco, ME 04072 Phone: 207-640-4400 Fax: 207-640-4474 | |
Open Gate Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 North St, Saco, ME 04072 Phone: 207-590-4310 | |
Island Institute For Trauma Recovery Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 199 Main St, Saco, ME 04072 Phone: 207-571-3008 |