| The Maine Children's Home For Little Wanderers | |
|
93 Silver St Waterville ME 04901-5923 | |
| (207) 873-4253 | |
| (207) 872-7548 |
| Full Name | The Maine Children's Home For Little Wanderers |
|---|---|
| Speciality | Clinic/Center |
| Location | 93 Silver St, Waterville, Maine |
| Authorized Official Name and Position | Sharon H Abrams (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2078734253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Maine Children's Home For Little Wanderers 93 Silver St Waterville ME 04901-5923 Ph: (207) 873-4253 | The Maine Children's Home For Little Wanderers 93 Silver St Waterville ME 04901-5923 Ph: (207) 873-4253 |
| NPI Number | 1275682882 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4486610201 |
|---|---|
| Medicare Enrollment ID | O20041203000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275682882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Maine) | Primary |
| Provider Name | Debra E Levenseller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780850511 PECOS PAC ID: 2961654421 Enrollment ID: I20121207000028 |
| Provider Name | Jacqueline E Dupont |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356641195 PECOS PAC ID: 9133346430 Enrollment ID: I20140811001144 |
| Provider Name | Rebecca W Fowlie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821304189 PECOS PAC ID: 9537461173 Enrollment ID: I20160113001863 |
| Provider Name | Gabriel J Pinnette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083961890 PECOS PAC ID: 9234413451 Enrollment ID: I20170307000056 |
| Provider Name | Elsie J Absher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568475697 PECOS PAC ID: 1254674013 Enrollment ID: I20190517000691 |
| Provider Name | Kristen Record |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700351129 PECOS PAC ID: 0244637122 Enrollment ID: I20210920001504 |
| Provider Name | Amy Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346884681 PECOS PAC ID: 0345618633 Enrollment ID: I20221117000566 |
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