Nicole Labonte, | |
280b Gannett Dr, South Portland, ME 04106-6940 | |
(207) 828-0048 | |
(207) 772-3743 |
Full Name | Nicole Labonte |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 280b Gannett Dr, South 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 |
---|---|---|---|
1902351372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3379209 (Maine) | Primary |
Entity Name | Port Resources |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053467779 PECOS PAC ID: 5496078206 Enrollment ID: O20150102000068 |
Mailing Address | Practice Location Address |
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Nicole Labonte, 280b Gannett Dr, South Portland, ME 04106-6940 Ph: () - | Nicole Labonte, 280b Gannett Dr, South Portland, ME 04106-6940 Ph: (207) 828-0048 |
Grace Nevins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Gannett Dr # 3, South Portland, ME 04106 Phone: 207-536-0090 | |
Andrew Parker, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 854 Broadway, South Portland, ME 04106 Phone: 207-776-8146 Fax: 207-799-2303 | |
Ms. Sarah Beth Maxner, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 546 Preble St, South Portland, ME 04106 Phone: 207-420-8007 Fax: 207-893-2086 | |
Therese Redhunt, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Foden Rd, South Portland, ME 04106 Phone: 207-854-1030 | |
Kane Loukas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Lydia Ln, South Portland, ME 04106 Phone: 207-523-5050 | |
Dorothy Heggie, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 650 Main St, Ste 103, South Portland, ME 04106 Phone: 207-409-9523 | |
Sherri Stockwell, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 50 Lydia Ln, South Portland, ME 04106 Phone: 207-874-1175 Fax: 207-874-1181 |