Ms Bethany Jo Mitchell, LCSW | |
11 Cobb Rd, Searsport, ME 04974 | |
(207) 356-8506 | |
Not Available |
Full Name | Ms Bethany Jo Mitchell |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 11 Cobb Rd, Searsport, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427112713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC6694 (Maine) | Primary |
Entity Name | Acadia Hospital Corp. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215940523 PECOS PAC ID: 7719878495 Enrollment ID: O20040323000136 |
Entity Name | Health Affiliates Maine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
Mailing Address | Practice Location Address |
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Ms Bethany Jo Mitchell, LCSW 11 Cobb Rd, Searsport, ME 04974-3545 Ph: (207) 356-8506 | Ms Bethany Jo Mitchell, LCSW 11 Cobb Rd, Searsport, ME 04974 Ph: (207) 356-8506 |
Ms. Gloria Young, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 E Main St, Searsport, ME 04974 Phone: 207-548-6582 Fax: 207-548-6015 | |
Janice Nickerson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 428 E Main St, Searsport, ME 04974 Phone: 207-323-4900 | |
Athena Bennett, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Mortland Rd, Searsport, ME 04974 Phone: 207-322-7196 | |
Mrs. Katherine Lee Cronin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 321 W Main St, Searsport, ME 04974 Phone: 207-338-8960 |