Carrie Stackpole, LADC, CCS is a
Counselor - Addiction (substance Use Disorder) based in Clinton, Maine. Carrie Stackpole is licensed to practice in Maine (license number LC7985) and her current practice location is
30 Winn Ave, Clinton, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 877-4381.
NPI number for Carrie Stackpole is 1144993809 and her current mailing address is 64 Kennebec Street, Shawmut, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144993809.
Healthcare Provider's Profile
| Full Name | Carrie Stackpole |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 30 Winn Ave, Clinton, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144993809
- Provider Enumeration Date: 07/28/2021
- Last Update Date: 09/20/2023
Medical Identifiers
Medical identifiers for Carrie Stackpole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144993809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LC7985 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carrie Stackpole is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Carrie Stackpole, LADC, CCS
64 Kennebec Street,
Shawmut, ME 04975
Ph: (207) 877-4381 | Carrie Stackpole, LADC, CCS
30 Winn Ave,
Clinton, ME 04927-3559
Ph: (207) 877-4381 |
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