Briana L Costello, LCSW | |
71 Us Route 1 Ste C, Scarborough, ME 04074-7174 | |
(207) 883-5532 | |
(207) 883-5552 |
Full Name | Briana L Costello |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 71 Us Route 1 Ste C, Scarborough, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790266773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC17949 (Maine) | Primary |
104100000X | Social Worker | MC16511 (Maine) | Secondary |
Entity Name | Maine Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104921535 PECOS PAC ID: 9335043967 Enrollment ID: O20040331000274 |
Entity Name | Spurwink Services Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760507297 PECOS PAC ID: 7810026945 Enrollment ID: O20100527000272 |
Mailing Address | Practice Location Address |
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Briana L Costello, LCSW 22 Bramhall St, Portland, ME 04102-3175 Ph: (207) 662-0111 | Briana L Costello, LCSW 71 Us Route 1 Ste C, Scarborough, ME 04074-7174 Ph: (207) 883-5532 |
Kelsey Hayes, LMSW-CC, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 Route 1, Scarborough, ME 04074 Phone: 207-337-8101 | |
Courtney Anne Leeman, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 71 Us Route 1, Scarborough, ME 04074 Phone: 207-774-3570 | |
Edith White, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Dr Unit 108, Scarborough, ME 04074 Phone: 207-303-3300 Fax: 207-250-2139 | |
Cindy Daniels, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 Professional Drive, Scarborough, ME 04074 Phone: 207-883-0711 Fax: 207-883-2204 | |
Justine Nicole Fraser, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 71 Us Route 1, Scarborough, ME 04074 Phone: 207-219-8011 | |
Ms. Alison Lynn Catey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 71 Route 1, Suite H, Scarborough, ME 04074 Phone: 207-774-3570 | |
Judith L Entwistle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Holly St, Scarborough, ME 04074 Phone: 207-396-5335 |