Kristen Breault, LCSW | |
180 Us Route 1, Scarborough, ME 04074-9073 | |
(207) 289-3553 | |
Not Available |
Full Name | Kristen Breault |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 180 Us Route 1, Scarborough, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558764787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | MC14918 (Maine) | Secondary |
1041C0700X | Social Worker - Clinical | LC16403 (Maine) | Primary |
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 |
---|---|
Kristen Breault, LCSW 180 Us Route One, Scarborough, ME 04074-9041 Ph: (207) 289-3553 | Kristen Breault, LCSW 180 Us Route 1, Scarborough, ME 04074-9073 Ph: (207) 289-3553 |
Kelsey Hayes, LMSW-CC, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 Route 1, Scarborough, ME 04074 Phone: 207-337-8101 | |
Courtney Anne Leeman, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 71 Us Route 1, Scarborough, ME 04074 Phone: 207-774-3570 | |
Edith White, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Dr Unit 108, Scarborough, ME 04074 Phone: 207-303-3300 Fax: 207-250-2139 | |
Cindy Daniels, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 Professional Drive, Scarborough, ME 04074 Phone: 207-883-0711 Fax: 207-883-2204 | |
Justine Nicole Fraser, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 71 Us Route 1, Scarborough, ME 04074 Phone: 207-219-8011 | |
Ms. Alison Lynn Catey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 71 Route 1, Suite H, Scarborough, ME 04074 Phone: 207-774-3570 | |
Judith L Entwistle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Holly St, Scarborough, ME 04074 Phone: 207-396-5335 |