Michelle H Bolen, LCSW | |
744 Roosevelt Trl Ste 302a, Windham, ME 04062-5281 | |
(207) 892-7797 | |
(207) 892-7797 |
Full Name | Michelle H Bolen |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 36 Years |
Location | 744 Roosevelt Trl Ste 302a, Windham, Maine |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154330975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC4444 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northern Light Mercy Hospital | Portland, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Hospital | 6103737812 | 229 |
Spurwink Services Incorporated | 7810026945 | 69 |
Entity Name | Mercy Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943 |
Entity Name | Tri-county Mental Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215979158 PECOS PAC ID: 6103800131 Enrollment ID: O20040707000723 |
Entity Name | Spurwink Services Incorporated |
---|---|
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 |
---|---|
Michelle H Bolen, LCSW 744 Roosevelt Trl Ste 302a, Windham, ME 04062-5281 Ph: (207) 892-7797 | Michelle H Bolen, LCSW 744 Roosevelt Trl Ste 302a, Windham, ME 04062-5281 Ph: (207) 892-7797 |
Marie A Pedersen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 584 Roosevelt Trl, Windham, ME 04062 Phone: 207-662-8907 | |
Matthew K Lombard, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 20 Lincoln Cir, Windham, ME 04062 Phone: 207-615-2292 | |
Torrey Harrison, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 744 Roosevelt Trl, Windham, ME 04062 Phone: 207-892-4623 Fax: 207-892-5317 | |
Nick Dyer, LMSW-CC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 86 Tandberg Trl, Windham, ME 04062 Phone: 207-893-0386 | |
Matthew John Thibault, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 86 Tandberg Trail, Windham, ME 04062 Phone: 207-893-0386 | |
Nolan M Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 755 Roosevelt Trl # 3b, Windham, ME 04062 Phone: 207-415-9326 Fax: 207-899-4951 |