Michael R Galligan, LCSW | |
5 Central Maine Xing, Gardiner, ME 04345-6320 | |
(207) 582-6608 | |
(207) 582-2258 |
Full Name | Michael R Galligan |
---|---|
Gender | Male |
Speciality | Social Worker |
Location | 5 Central Maine Xing, Gardiner, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548769854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 116296 (Massachusetts) | Secondary |
104100000X | Social Worker | LC20106 (Maine) | Primary |
Entity Name | Mainegeneral Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
Mailing Address | Practice Location Address |
---|---|
Michael R Galligan, LCSW 5 Central Maine Xing, Gardiner, ME 04345-6320 Ph: (207) 582-6608 | Michael R Galligan, LCSW 5 Central Maine Xing, Gardiner, ME 04345-6320 Ph: (207) 582-6608 |
Ms. Patricia Ann Fournier, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Brunswick Ave, Gardiner, ME 04345 Phone: 207-588-0040 Fax: 207-588-0040 | |
Deborah Jean Schooley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 37 Brunswick Ave, Gardiner, ME 04345 Phone: 207-592-6404 | |
Mrs. Laurie Joanne Gardner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17 Brunswick Ave, Gardiner, ME 04345 Phone: 207-462-0596 Fax: 207-549-3198 | |
Jill Ellen Bishop Avery, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 418 Water St, Gardiner, ME 04345 Phone: 207-588-0235 | |
Ms. Aurora Correia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 49 Middle St, Gardiner, ME 04345 Phone: 207-582-7537 |