Sandra J Hinckley, LCSW | |
67 Shaker Rd Ste 7, Christopher Aaron Counseling Center, Gray, ME 04072-1536 | |
(204) 294-4657 | |
Not Available |
Full Name | Sandra J Hinckley |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 67 Shaker Rd Ste 7, Gray, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457318263 | NPI | - | NPPES |
319280099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC5164 (Maine) | Primary |
Entity Name | Health Affiliates Maine, Llc |
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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 |
---|---|
Sandra J Hinckley, LCSW 229 Maine Ave, Portland, ME 04103-3905 Ph: (207) 899-0366 | Sandra J Hinckley, LCSW 67 Shaker Rd Ste 7, Christopher Aaron Counseling Center, Gray, ME 04072-1536 Ph: (204) 294-4657 |
Amanda Dibiase, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 67 Shaker Rd, Suite 7, Gray, ME 04039 Phone: 207-657-7700 | |
Kayla Mae Bailey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26 Main Street, Gray, ME 04039 Phone: 207-657-7700 | |
Mrs. Judith Colby-walker, MCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 67 Shaker Rd Apt 7, Gray, ME 04039 Phone: 207-657-7700 Fax: 207-657-7770 | |
Mark R. Olson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 56 Charlonate Dr, Gray, ME 04039 Phone: 207-657-2203 Fax: 207-657-2013 | |
Karen Burke Lane, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 31 Main St Ste 1, Gray, ME 04039 Phone: 207-894-0049 | |
Ms. Judith M Rice, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 67 Shaker Rd, Suite 10, Gray, ME 04039 Phone: 207-657-5344 |