Christine Ann Crittenden Richard, LCSW | |
242 Brunswick St, Old Town, ME 04468-1613 | |
(207) 827-6128 | |
Not Available |
Full Name | Christine Ann Crittenden Richard |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 242 Brunswick St, Old Town, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013343813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | MC14328 (Maine) | Secondary |
1041C0700X | Social Worker - Clinical | LC15652 (Maine) | Primary |
Entity Name | Penobscot Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427169010 PECOS PAC ID: 0143212670 Enrollment ID: O20040819000698 |
Entity Name | United Cerebral Palsy Of Northeastern Maine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265634893 PECOS PAC ID: 6507018058 Enrollment ID: O20121206000540 |
Mailing Address | Practice Location Address |
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Christine Ann Crittenden Richard, LCSW Po Box 1599, Bangor, ME 04402-1599 Ph: (207) 404-8100 | Christine Ann Crittenden Richard, LCSW 242 Brunswick St, Old Town, ME 04468-1613 Ph: (207) 827-6128 |
Frank N Mcknight, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 | |
Stanley O Pettegrow, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 | |
Terry L Melanson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-945-5247 Fax: 207-947-0435 | |
Isabelle Vachon, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 203 Stillwater Ave, Old Town, ME 04468 Phone: 207-827-3910 |