Teresa Valliere, LCSW, LADC, CCS is a medicare enrolled "Social Worker - Clinical" provider in Portland, Maine. Her current practice location is
575 Forest Ave, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 772-1187.
Teresa Valliere is licensed to practice in Maine (license number LC8528) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902974116.
Healthcare Provider's Profile
Full Name | Teresa Valliere |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 575 Forest Ave, Portland, Maine |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902974116
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 01/04/2011
Medicare PECOS Information:
- PECOS PAC ID: 7416001680
- Enrollment ID: I20090822000081
Medical Identifiers
Medical identifiers for Teresa Valliere such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902974116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LC2384 (Maine) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CCS2828 (Maine) | Secondary |
1041C0700X | Social Worker - Clinical | LC8528 (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. Teresa Valliere is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Teresa Valliere, LCSW, LADC, CCS 57 Revere St, Apt 1, Portland, ME 04103-4042 Ph: (207) 773-2925 | Teresa Valliere, LCSW, LADC, CCS 575 Forest Ave, Portland, ME 04101-1513 Ph: (207) 772-1187 |
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