| Brian Englander Lcsw P.a. | |
|
71 Elm St Camden ME 04843-1904 | |
| (207) 322-6601 | |
| Not Available |
| Full Name | Brian Englander Lcsw P.a. |
|---|---|
| Speciality | Social Worker |
| Location | 71 Elm St, Camden, Maine |
| Authorized Official Name and Position | Brian Englander (PRESIDENT) |
| Authorized Official Contact | 2073226601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Englander Lcsw P.a. 234 High St Lincolnville ME 04849-5853 Ph: (207) 322-6601 | Brian Englander Lcsw P.a. 71 Elm St Camden ME 04843-1904 Ph: (207) 322-6601 |
| NPI Number | 1184252454 |
|---|---|
| Provider Enumeration Date | 03/31/2020 |
| Last Update Date | 04/08/2020 |
| Certification Date | 04/08/2020 |
| Medicare PECOS PAC ID | 2365872215 |
|---|---|
| Medicare Enrollment ID | O20200417000699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184252454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brian S Englander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780106062 PECOS PAC ID: 0042646671 Enrollment ID: I20200130001250 |
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