| Suzanne Costallos, LCSW | |
|
710 Bucksport Rd, Ellsworth, ME 04605-2722 | |
| (207) 667-6890 | |
| (207) 667-6457 |
| Full Name | Suzanne Costallos |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 710 Bucksport Rd, Ellsworth, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134344724 | NPI | - | NPPES |
| 431803199 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC10650 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Costallos, LCSW 710 Bucksport Rd, Ellsworth, ME 04605-2722 Ph: (207) 667-6890 | Suzanne Costallos, LCSW 710 Bucksport Rd, Ellsworth, ME 04605-2722 Ph: (207) 667-6890 |
Roberta Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 Water St, Ellsworth, ME 04605 Phone: 207-667-2061 | |
Heather K Gosselin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16 Kids Peace Way, Ellsworth, ME 04605 Phone: 207-664-1261 Fax: 207-412-0612 | |
Ms. Sally Linda Smith, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 194 Main Street, Ellsworth, ME 04605 Phone: 207-667-4042 | |
Mrs. Amie Lyn Hasham, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 52 Christian Ridge Rd, Ellsworth, ME 04605 Phone: 207-667-5357 Fax: 207-288-7024 | |
Ms. Joyce E. Kilmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 Water St, Ellsworth, ME 04605 Phone: 207-667-2061 Fax: 207-667-8624 | |
Dr. Thomas Duane Hansen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 210 Main St, Suite 2, Ellsworth, ME 04605 Phone: 207-664-0097 Fax: 207-664-0097 |