Wayne L Moore, LCSW | |
12 Union Street, Rockland, ME 04841-2739 | |
(207) 701-4402 | |
(207) 701-4486 |
Full Name | Wayne L Moore |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 12 Union Street, Rockland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730280108 | NPI | - | NPPES |
264310099 | Medicaid | ME | |
104540000 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC5661 (* (Not Available)) | Primary |
Entity Name | Eastern Maine Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
Entity Name | Acadia Hospital Corp. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215940523 PECOS PAC ID: 7719878495 Enrollment ID: O20040323000136 |
Mailing Address | Practice Location Address |
---|---|
Wayne L Moore, LCSW 78 Atlantic Place, South Portland, ME 04106-2316 Ph: (207) 842-6556 | Wayne L Moore, LCSW 12 Union Street, Rockland, ME 04841-2739 Ph: (207) 701-4402 |
Anna Peterson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Union St, Rockland, ME 04841 Phone: 207-701-4400 Fax: 207-701-4486 | |
Kyle A. Reniche, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12 Union St, Rockland, ME 04841 Phone: 207-701-4402 Fax: 207-701-4486 | |
Melissa A Douglas, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 375 Main St, Rockland, ME 04841 Phone: 207-596-0359 Fax: 207-596-0350 | |
Christina Fish, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27 Warren St, Rockland, ME 04841 Phone: 207-542-5904 | |
Heather A Huey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12 Union Street, Rockland, ME 04841 Phone: 207-701-4400 Fax: 207-701-4487 | |
Michael S Morse, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12 Union St, Rockland, ME 04841 Phone: 207-701-4400 Fax: 207-701-4487 | |
Alma W. Carr, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12 Union St, Rockland, ME 04841 Phone: 207-701-4400 Fax: 207-701-4487 |