| Peter J Fuller, LCSW, LADC | |
|
474 Main St, Springvale, ME 04083-1409 | |
| (207) 324-1500 | |
| (207) 490-5263 |
| Full Name | Peter J Fuller |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 474 Main St, Springvale, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659652022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC4929 (Maine) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LC4294 (Maine) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Peter J Fuller, LCSW, LADC 78 Atlantic Place, South Portland, ME 04106-2316 Ph: (207) 661-6654 | Peter J Fuller, LCSW, LADC 474 Main St, Springvale, ME 04083-1409 Ph: (207) 324-1500 |
Sonya Keene, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 469 Main St, Suite 201, Springvale, ME 04083 Phone: 207-490-6600 Fax: 207-490-6603 | |
Kelley Bernard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 474 Main St, Springvale, ME 04083 Phone: 207-324-1500 Fax: 207-490-5263 | |
Laurie Keene, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 474 Main St, Springvale, ME 04083 Phone: 207-324-1500 Fax: 207-490-5263 | |
Lindsey Lokken, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 474 Main St, Springvale, ME 04083 Phone: 207-324-1500 | |
Ms. Janet A Hamilton, LMSWCC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15 Oak St, Springvale, ME 04083 Phone: 207-490-6900 Fax: 207-324-0546 | |
Mr. Bruce B. Munro-ludders, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 474 Main St, Springvale, ME 04083 Phone: 207-324-1500 Fax: 207-490-5263 | |
Susan M Soverel, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 469 Main St Ste 206, Springvale, ME 04083 Phone: 207-490-5389 Fax: 207-490-5390 |