Colm Brennan, LCSW | |
50 Market Street, Suite 1a, Pmb 393, South Portland, ME 04106 | |
(207) 352-3248 | |
Not Available |
Full Name | Colm Brennan |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 50 Market Street, Suite 1a, South Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710509906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC19205 (Maine) | Primary |
1041C0700X | Social Worker - Clinical | CW021277 (Pennsylvania) | Secondary |
Entity Name | Gksw Crystal Group Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568418721 PECOS PAC ID: 7810898152 Enrollment ID: O20040119000541 |
Mailing Address | Practice Location Address |
---|---|
Colm Brennan, LCSW 50 Market St Ste 1a, South Portland, ME 04106-3646 Ph: (207) 352-3248 | Colm Brennan, LCSW 50 Market Street, Suite 1a, Pmb 393, South Portland, ME 04106 Ph: (207) 352-3248 |
Grace Nevins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Gannett Dr # 3, South Portland, ME 04106 Phone: 207-536-0090 | |
Andrew Parker, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 854 Broadway, South Portland, ME 04106 Phone: 207-776-8146 Fax: 207-799-2303 | |
Ms. Sarah Beth Maxner, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 546 Preble St, South Portland, ME 04106 Phone: 207-420-8007 Fax: 207-893-2086 | |
Therese Redhunt, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Foden Rd, South Portland, ME 04106 Phone: 207-854-1030 | |
Kane Loukas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Lydia Ln, South Portland, ME 04106 Phone: 207-523-5050 | |
Dorothy Heggie, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 650 Main St, Ste 103, South Portland, ME 04106 Phone: 207-409-9523 | |
Sherri Stockwell, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 50 Lydia Ln, South Portland, ME 04106 Phone: 207-874-1175 Fax: 207-874-1181 |