Ms Lila Erazo Balch, LICSW, LCSW | |
110 Broadway, Bucksport, ME 04416-4612 | |
(207) 469-7371 | |
Not Available |
Full Name | Ms Lila Erazo Balch |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 110 Broadway, Bucksport, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821106568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC9866 (Maine) | Primary |
Entity Name | Health Affiliates Maine, Llc |
---|---|
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 |
---|---|
Ms Lila Erazo Balch, LICSW, LCSW 110 Broadway, Bucksport, ME 04416-4612 Ph: (207) 469-7371 | Ms Lila Erazo Balch, LICSW, LCSW 110 Broadway, Bucksport, ME 04416-4612 Ph: (207) 469-7371 |
Kenneth A Harvey Jr., LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 54 Main St, Bucksport, ME 04416 Phone: 207-323-4449 | |
R Maxwell Goode, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Broadway, Bucksport, ME 04416 Phone: 207-469-7371 Fax: 207-469-7306 | |
Hayley Morgan Farrell Landes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58 Mcdonald St, Bucksport, ME 04416 Phone: 917-805-0492 |