Jacqueline Dupont, LCSW | |
93 Silver St, Waterville, ME 04901-5923 | |
(207) 873-4253 | |
Not Available |
Full Name | Jacqueline Dupont |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 93 Silver St, Waterville, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356641195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | MC12765 (Maine) | Primary |
Entity Name | The Maine Children's Home For Little Wanderers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275682882 PECOS PAC ID: 4486610201 Enrollment ID: O20041203000428 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Dupont, LCSW 93 Silver St, Waterville, ME 04901-5923 Ph: (207) 873-4253 | Jacqueline Dupont, LCSW 93 Silver St, Waterville, ME 04901-5923 Ph: (207) 873-4253 |
Jon Lourens, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 67 Eustis Pkwy, Waterville, ME 04901 Phone: 207-873-2136 | |
Rodney G Berger, LCPC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 Front St # 10, Waterville, ME 04901 Phone: 207-649-0339 Fax: 207-861-0125 | |
Kaitlyn Boudreau, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 67 Eustis Pkwy, Waterville, ME 04901 Phone: 207-873-2136 Fax: 207-660-4529 | |
Nicole Hallett, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 211 Main St, Waterville, ME 04901 Phone: 207-877-3400 Fax: 207-877-3401 | |
Deirdre Finney Boylan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 67 Eustis Pkwy, Waterville, ME 04901 Phone: 207-873-2136 Fax: 207-872-4522 | |
Rebekah J Smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 325 Kennedy Memorial Dr Bldg D, Waterville, ME 04901 Phone: 207-616-0499 | |
Ms. Cindy Lou Schumacher, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 67 Eustis Pkwy, Waterville, ME 04901 Phone: 207-660-4549 Fax: 207-660-4929 |