Theresa Flannery-blachura, MSW | |
11 Mill St, Houlton, ME 04730-1877 | |
(207) 532-6523 | |
(207) 532-3873 |
Full Name | Theresa Flannery-blachura |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 11 Mill St, Houlton, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154448785 | NPI | - | NPPES |
432024199 | Other | ME | MAINE CARE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC11557 (Maine) | Primary |
Entity Name | Northern Lighthouse Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831311968 PECOS PAC ID: 2769611805 Enrollment ID: O20141016000399 |
Mailing Address | Practice Location Address |
---|---|
Theresa Flannery-blachura, MSW 11 Mill St, Houlton, ME 04730-1877 Ph: (207) 532-6523 | Theresa Flannery-blachura, MSW 11 Mill St, Houlton, ME 04730-1877 Ph: (207) 532-6523 |
Ms. Pamela Rust Glidden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Water St, Suite 2, Houlton, ME 04730 Phone: 207-532-5510 Fax: 207-532-5518 | |
Carol E Westerdahl, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 52 Main St, Houlton, ME 04730 Phone: 207-694-1420 Fax: 207-521-5834 | |
Angela M Burlock, LMSW-CC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 144 Military St Ste 3, Houlton, ME 04730 Phone: 207-538-2416 Fax: 207-521-0900 | |
Mrs. Lois Evelyn Goodrich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Water St, Houlton, ME 04730 Phone: 207-532-5510 Fax: 207-532-5518 | |
David Goodrich, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11 Mill St, Houlton, ME 04730 Phone: 207-532-6523 Fax: 207-532-3873 | |
Mr. Michael Arthur Fasulo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Water St, Suite 2, Houlton, ME 04730 Phone: 207-532-5510 Fax: 207-532-5518 |