Ms Kathi M Dimiceli, LCSW is a
Social Worker - Clinical based in Eastport, Maine. Ms Kathi M Dimiceli is licensed to practice in Maine (license number LC10254) and her current practice location is
30 Boynton St, Eastport, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 853-6001.
NPI number for Ms Kathi M Dimiceli is 1205847043 and her current mailing address is 49 Third St, Eastport, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205847043.
Healthcare Provider's Profile
| Full Name | Ms Kathi M Dimiceli |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 30 Boynton St, Eastport, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205847043
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Ms Kathi M Dimiceli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205847043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | LC10254 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kathi M Dimiceli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Kathi M Dimiceli, LCSW
49 Third St,
Eastport, ME 04631-1429
Ph: (207) 853-9515 | Ms Kathi M Dimiceli, LCSW
30 Boynton St,
Eastport, ME 04631-1306
Ph: (207) 853-6001 |
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