Mrs Kashana Taneshia Gaines, LCSW | |
30 Houlton St, Patten, ME 04765-3035 | |
(207) 538-3700 | |
Not Available |
Full Name | Mrs Kashana Taneshia Gaines |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 30 Houlton St, Patten, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306292701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW005733 (Georgia) | Secondary |
1041C0700X | Social Worker - Clinical | LC22072 (Maine) | Primary |
Entity Name | Katahdin Valley Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376618546 PECOS PAC ID: 4880659903 Enrollment ID: O20041130000688 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kashana Taneshia Gaines, LCSW 6407 Swallowtail Dr, Statesboro, GA 30461-0724 Ph: (912) 362-5267 | Mrs Kashana Taneshia Gaines, LCSW 30 Houlton St, Patten, ME 04765-3035 Ph: (207) 538-3700 |
Beth Anne Martin, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 30 Houlton St, Patten, ME 04765 Phone: 207-528-2285 | |
Karen Possessky, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30 Houlton St, Patten, ME 04765 Phone: 207-538-3700 | |
Emilie N Raistrick, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30 Houlton St, Patten, ME 04765 Phone: 866-366-5842 |