Kathleen Fay Dehaven, LCSW | |
735 Wilson St, Brewer, ME 04412-1000 | |
(207) 989-1567 | |
Not Available |
Full Name | Kathleen Fay Dehaven |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 735 Wilson St, Brewer, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619137213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | MC11610 (Maine) | Primary |
Entity Name | Waldo County General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841397932 PECOS PAC ID: 2163332883 Enrollment ID: O20040428001058 |
Mailing Address | Practice Location Address |
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Kathleen Fay Dehaven, LCSW 735 Wilson St, Brewer, ME 04412-1000 Ph: (207) 989-1567 | Kathleen Fay Dehaven, LCSW 735 Wilson St, Brewer, ME 04412-1000 Ph: (207) 989-1567 |
Mr. Dustin Bernard Przybylski, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Union St, Brewer, ME 04412 Phone: 207-949-6646 | |
Vauna Haza, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Holyoke St, Brewer, ME 04412 Phone: 207-262-5059 | |
Jennifer Marie Holesha, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 797 Wilson St, Brewer, ME 04412 Phone: 207-973-6494 | |
Laurie A Brophy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 46 Betton St, Suite 205, Brewer, ME 04412 Phone: 207-356-4067 | |
Ms. Jennifer Lynn Moss, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 735 Wilson St, Brewer, ME 04412 Phone: 207-945-5247 Fax: 207-947-0435 | |
Julie Reva Kominsky, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 191 S Main St, Brewer, ME 04412 Phone: 207-745-1492 | |
Mrs. Decha Bailey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17 Doughty Dr Ste 102, Brewer, ME 04412 Phone: 207-263-0134 |