Jill Ellen Bishop Avery, LCSW | |
418 Water St, Gardiner, ME 04345-2058 | |
(207) 588-0235 | |
Not Available |
Full Name | Jill Ellen Bishop Avery |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 418 Water St, Gardiner, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740445147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC11640 (Maine) | Primary |
104100000X | Social Worker | LC11640 (Maine) | Secondary |
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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Jill Ellen Bishop Avery, LCSW 418 Water St, Gardiner, ME 04345-2058 Ph: (207) 588-0235 | Jill Ellen Bishop Avery, LCSW 418 Water St, Gardiner, ME 04345-2058 Ph: (207) 588-0235 |
Ms. Patricia Ann Fournier, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Brunswick Ave, Gardiner, ME 04345 Phone: 207-588-0040 Fax: 207-588-0040 | |
Deborah Jean Schooley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 37 Brunswick Ave, Gardiner, ME 04345 Phone: 207-592-6404 | |
Michael R Galligan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5 Central Maine Xing, Gardiner, ME 04345 Phone: 207-582-6608 Fax: 207-582-2258 | |
Mrs. Laurie Joanne Gardner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17 Brunswick Ave, Gardiner, ME 04345 Phone: 207-462-0596 Fax: 207-549-3198 | |
Ms. Aurora Correia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 49 Middle St, Gardiner, ME 04345 Phone: 207-582-7537 |