Emilie N Raistrick, LCSW | |
30 Houlton St, Patten, ME 04765-3035 | |
(866) 366-5842 | |
Not Available |
Full Name | Emilie N Raistrick |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 30 Houlton St, Patten, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942802806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW17749 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | LC21114 (Maine) | Primary |
Entity Name | Get Off The Couch Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417430240 PECOS PAC ID: 9032463062 Enrollment ID: O20181110000055 |
Mailing Address | Practice Location Address |
---|---|
Emilie N Raistrick, LCSW 50 Leanni Way Unit C4, Palm Coast, FL 32137-4755 Ph: (386) 627-8156 | Emilie N Raistrick, LCSW 30 Houlton St, Patten, ME 04765-3035 Ph: (866) 366-5842 |
Beth Anne Martin, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 30 Houlton St, Patten, ME 04765 Phone: 207-528-2285 | |
Mrs. Kashana Taneshia Gaines, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30 Houlton St, Patten, ME 04765 Phone: 207-538-3700 | |
Karen Possessky, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30 Houlton St, Patten, ME 04765 Phone: 207-538-3700 |