Mica T Slaven-lamothe, LCSW, MHRT-CSP is a
Social Worker - Clinical based in Ellsworth, Maine. Mica T Slaven-lamothe is licensed to practice in Maine (license number LC14722) and her current practice location is
710 Bucksport Rd, Ellsworth, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 667-6890.
NPI number for Mica T Slaven-lamothe is 1003180944 and her current mailing address is 710 Bucksport Rd, Ellsworth, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003180944.
Healthcare Provider's Profile
| Full Name | Mica T Slaven-lamothe |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 710 Bucksport Rd, Ellsworth, 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: 1003180944
- Provider Enumeration Date: 02/23/2012
- Last Update Date: 08/20/2014
Medical Identifiers
Medical identifiers for Mica T Slaven-lamothe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003180944 | NPI | - | NPPES |
| 103850000 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC14722 (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. Mica T Slaven-lamothe 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 |
|---|
Mica T Slaven-lamothe, LCSW, MHRT-CSP
710 Bucksport Rd,
Ellsworth, ME 04605-2722
Ph: (207) 667-6890 | Mica T Slaven-lamothe, LCSW, MHRT-CSP
710 Bucksport Rd,
Ellsworth, ME 04605-2722
Ph: (207) 667-6890 |
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