Ms Mary Beth Walters, LCSW | |
501 Forest Ave, Portland, ME 04101-1503 | |
(207) 536-1590 | |
(207) 536-1591 |
Full Name | Ms Mary Beth Walters |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 501 Forest Ave, 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 |
---|---|---|---|
1285119511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LC21155 (Maine) | Primary |
Entity Name | Mainehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Entity Name | Tri-county Mental Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215979158 PECOS PAC ID: 6103800131 Enrollment ID: O20040707000723 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Beth Walters, LCSW 1155 Lisbon St, Lewiston, ME 04240-5025 Ph: (207) 783-9141 | Ms Mary Beth Walters, LCSW 501 Forest Ave, Portland, ME 04101-1503 Ph: (207) 536-1590 |
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 |