Edith T Dubord, LCSW, LADC is a
Social Worker - Clinical based in Yarmouth, Maine. Edith T Dubord is licensed to practice in Maine (license number LC10813) and her current practice location is
30 Forest Falls Dr Ste 1, Yarmouth, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 712-6739.
NPI number for Edith T Dubord is 1922219096 and her current mailing address is 24 Emu St, Freeport, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922219096.
Healthcare Provider's Profile
| Full Name | Edith T Dubord |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 30 Forest Falls Dr Ste 1, Yarmouth, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1922219096
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Edith T Dubord such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922219096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LC3971 (Maine) | Primary |
| 1041C0700X | Social Worker - Clinical | LC10813 (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. Edith T Dubord 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 |
|---|
Edith T Dubord, LCSW, LADC
24 Emu St,
Freeport, ME 04032-6037
Ph: (207) 865-6862 | Edith T Dubord, LCSW, LADC
30 Forest Falls Dr Ste 1,
Yarmouth, ME 04096-6983
Ph: (207) 712-6739 |
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