Stacia Fitch, LCSW, LADC is a
Social Worker - Clinical based in Portland, Maine. Stacia Fitch is licensed to practice in Maine (license number LC5514) and her current practice location is
465 Congress St Ste 700, Portland, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 329-8670.
NPI number for Stacia Fitch is 1306922190 and her current mailing address is 192 Egypt Rd, Raymond, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306922190.
Healthcare Provider's Profile
| Full Name | Stacia Fitch |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 465 Congress St Ste 700, Portland, Maine |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306922190
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Stacia Fitch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306922190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LC904 (Northern Mariana Islands) | Primary |
| 1041C0700X | Social Worker - Clinical | LC5514 (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. Stacia Fitch 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 |
|---|
Stacia Fitch, LCSW, LADC
192 Egypt Rd,
Raymond, ME 04071-6390
Ph: (207) 329-8670 | Stacia Fitch, LCSW, LADC
465 Congress St Ste 700,
Portland, ME 04101-3539
Ph: (207) 329-8670 |
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