Kathryn Landry Gradwell, LCSW | |
38 Falcon Dr, Auburn, ME 04210-4354 | |
(207) 783-3984 | |
(207) 784-1358 |
Full Name | Kathryn Landry Gradwell |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 38 Falcon Dr, Auburn, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033444047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC10634 (Maine) | Primary |
Entity Name | Community Clinical Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164477568 PECOS PAC ID: 0042101099 Enrollment ID: O20040513000884 |
Mailing Address | Practice Location Address |
---|---|
Kathryn Landry Gradwell, LCSW 331 Pine St, Lewiston, ME 04240-6308 Ph: (207) 344-9025 | Kathryn Landry Gradwell, LCSW 38 Falcon Dr, Auburn, ME 04210-4354 Ph: (207) 783-3984 |
Ryan Hayes, CAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Danville Corner Rd, Auburn, ME 04210 Phone: 207-795-0419 Fax: 207-795-0485 | |
Mrs. Courtney Karol Bradeen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 92 Mary Carroll St, Auburn, ME 04210 Phone: 207-653-4706 | |
Barbara J Frank, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 871 Court St, Auburn, ME 04210 Phone: 207-376-4981 Fax: 207-376-4983 | |
Ms. Aura Russell-bedder, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 38 Falcon Dr, Auburn, ME 04210 Phone: 207-784-1356 | |
Mrs. Azure Marie Proctor, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 32 Sherwood Dr, Auburn, ME 04210 Phone: 207-783-8526 | |
Jillian Elizabeth Duplissis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 155 Center St Ste 201, Auburn, ME 04210 Phone: 207-777-5888 |