Ms Marina D Eddy, LICSW is a
Social Worker - Clinical based in Portland, Maine. Ms Marina D Eddy is licensed to practice in Maine (license number LCSW LC7299) and her current practice location is
17 Briarwood Ln, Portland, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 233-5778.
NPI number for Ms Marina D Eddy is 1417019274 and her current mailing address is 17 Briarwood Ln, Portland, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417019274.
Healthcare Provider's Profile
| Full Name | Ms Marina D Eddy |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 17 Briarwood Ln, Portland, Maine |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417019274
- Provider Enumeration Date: 12/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Marina D Eddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417019274 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CADC CAC2971 (Maine) | Primary |
| 1041C0700X | Social Worker - Clinical | LICSW 113669 (Massachusetts) | Primary |
| 1041C0700X | Social Worker - Clinical | LCSW LC7299 (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. Ms Marina D Eddy 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 |
|---|
Ms Marina D Eddy, LICSW
17 Briarwood Ln,
Portland, ME 04103-2775
Ph: (207) 233-5778 | Ms Marina D Eddy, LICSW
17 Briarwood Ln,
Portland, ME 04103-2775
Ph: (207) 233-5778 |
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