Dianne L Nelder, LCSW | |
1155 Lisbon St, Lewiston, ME 04240-5025 | |
(207) 783-9141 | |
(207) 783-4660 |
Full Name | Dianne L Nelder |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1155 Lisbon St, Lewiston, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134321813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC5086 (Maine) | Primary |
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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Dianne L Nelder, LCSW 9 Church Ave, Portland, ME 04108-1153 Ph: (207) 766-5013 | Dianne L Nelder, LCSW 1155 Lisbon St, Lewiston, ME 04240-5025 Ph: (207) 783-9141 |
Cynthia K Bailey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 230 Bartlett St, Lewiston, ME 04240 Phone: 207-783-9141 | |
Deanne M Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 Central Ave, Lewiston, ME 04240 Phone: 207-795-4180 Fax: 207-753-6419 | |
Jill Chatburn, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1155 Lisbon St, Lewiston, ME 04240 Phone: 207-783-9141 | |
Jane W Hersey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Ave Ste A&b, Lewiston, ME 04240 Phone: 207-755-3434 Fax: 207-755-3474 | |
James W Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1155 Lisbon St, Lewiston, ME 04240 Phone: 207-783-9141 | |
Nathan Miller, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 331 Pine St, Lewiston, ME 04240 Phone: 207-689-5362 | |
Shane Sullivan Simpson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 230 Bartlett St, Lewiston, ME 04240 Phone: 207-783-4695 |