Meisha B Nickerson, LCSW | |
86 Davis Rd, Bangor, ME 04401-2311 | |
(207) 992-2205 | |
Not Available |
Full Name | Meisha B Nickerson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 86 Davis Rd, Bangor, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740709567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC20031 (Maine) | Primary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
Entity Name | Penobscot Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427169010 PECOS PAC ID: 0143212670 Enrollment ID: O20040819000698 |
Mailing Address | Practice Location Address |
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Meisha B Nickerson, LCSW 268 Stillwater Ave, Bangor, ME 04401-3945 Ph: (207) 973-6100 | Meisha B Nickerson, LCSW 86 Davis Rd, Bangor, ME 04401-2311 Ph: (207) 992-2205 |
Kimberly A Mills, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 86 Davis Rd, Bangor, ME 04401 Phone: 207-992-2205 Fax: 207-992-2207 | |
Rodney St. Louis, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401 Phone: 207-973-6100 Fax: 207-973-6109 | |
Tabitha Sagner, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 40 Summer St, Bangor, ME 04401 Phone: 207-945-4240 | |
Heath Myers, LCSW-CC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 895 Union St Ste 12, Bangor, ME 04401 Phone: 207-973-7979 | |
Brooklin R Jones-banahan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 77 Court St, Bangor, ME 04401 Phone: 207-941-0879 Fax: 207-941-0880 | |
Anita Conley, LMSWCC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 268 Stillwater Ave, Bangor, ME 04401 Phone: 207-973-6100 | |
Brenda B. Bryant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1066 Kenduskeag Ave, Bangor, ME 04401 Phone: 207-941-2855 Fax: 207-941-2835 |