Ms Kristin M Shulman, LCSW | |
12 Andover Rd, Portland, ME 04102-1954 | |
(207) 761-5612 | |
(207) 662-6234 |
Full Name | Ms Kristin M Shulman |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 12 Andover Rd, Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902875750 | NPI | - | NPPES |
31298-1 | Other | RI | BCBSRI |
KM59768 | Medicaid | RI | |
413281 | Other | RI | BLUECHIP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW01638 (Rhode Island) | Secondary |
1041C0700X | Social Worker - Clinical | LC12764 (Maine) | Primary |
Entity Name | Wildflower Center For Counseling |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780229146 PECOS PAC ID: 1254710486 Enrollment ID: O20220620000090 |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230522003428 |
Mailing Address | Practice Location Address |
---|---|
Ms Kristin M Shulman, LCSW 12 Andover Rd, Portland, ME 04102-1954 Ph: (207) 761-5612 | Ms Kristin M Shulman, LCSW 12 Andover Rd, Portland, ME 04102-1954 Ph: (207) 761-5612 |
Jeffrey Blake, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22 Monument Square, #403, Portland, ME 04101 Phone: 207-749-9075 | |
Mrs. Rebecca L Drouin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Bishop St, Portland, ME 04103 Phone: 207-871-1235 | |
Alicia M Willis, CAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Bishop St, Portland, ME 04103 Phone: 207-871-1235 Fax: 207-879-6161 | |
Mr. Lytfi Volksmyth, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 95 High St Ste 205, Portland, ME 04101 Phone: 207-329-9987 | |
Rhonda L Benner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Melissa Mcstay, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 370 Stevens Ave, Portland, ME 04103 Phone: 207-874-8260 | |
Albert M Durgin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Continental Dr, Portland, ME 04103 Phone: 207-797-5176 |