Katie L Vine, LCSW | |
130 Arizona Ave, Plattsburgh, NY 12903-4908 | |
(518) 565-4060 | |
Not Available |
Full Name | Katie L Vine |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 130 Arizona Ave, Plattsburgh, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1992052773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | LC15400 (Maine) | Secondary |
1041C0700X | Social Worker - Clinical | 120568 (New York) | Primary |
Entity Name | Catholic Charities Maine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013955947 PECOS PAC ID: 1254320641 Enrollment ID: O20040511000286 |
Entity Name | Health Affiliates Maine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
Mailing Address | Practice Location Address |
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Katie L Vine, LCSW 37 Pembroke St, Portland, ME 04103-5112 Ph: (207) 956-2047 | Katie L Vine, LCSW 130 Arizona Ave, Plattsburgh, NY 12903-4908 Ph: (518) 565-4060 |
Eric M Decelle, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 87 Plaza Blvd, Plattsburgh, NY 12901 Phone: 518-536-7060 Fax: 518-536-7075 | |
Kelly Hornby, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 18 Ampersand Dr, Plattsburgh, NY 12901 Phone: 518-566-0100 Fax: 518-566-0168 | |
Alexa Giardino, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 Us Oval Ste 100, Plattsburgh, NY 12903 Phone: 518-926-7100 | |
Ms. Darcy Elias Hathaway, LCSW-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22 Us Oval, Suite 218, Plattsburgh, NY 12903 Phone: 518-563-8293 | |
Lena Vann, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 22 Us Oval Ste 100, Plattsburgh, NY 12903 Phone: 518-561-1767 | |
Ms. Siobhan Mairead Kiernan, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 Us Oval Ste 100, Plattsburgh, NY 12903 Phone: 518-561-1767 Fax: 518-561-1795 | |
Mr. Paul F. Ferrari, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 63 Broad St, Plattsburgh, NY 12901 Phone: 518-563-8000 Fax: 518-563-9001 |