| Crossroads | |
|
71 Us Route 1 Suite E Scarborough ME 04074-9375 | |
| (207) 773-9931 | |
| (207) 879-5576 |
| Full Name | Crossroads |
|---|---|
| Speciality | Counselor |
| Location | 71 Us Route 1, Scarborough, Maine |
| Authorized Official Name and Position | Polly Haight Frawley (CHIEF OF OPERATIONS) |
| Authorized Official Contact | 2077739931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads 71 Us Route 1 Suite E Scarborough ME 04074-9375 Ph: (207) 773-9931 | Crossroads 71 Us Route 1 Suite E Scarborough ME 04074-9375 Ph: (207) 773-9931 |
| NPI Number | 1326030701 |
|---|---|
| Provider Enumeration Date | 08/22/2005 |
| Last Update Date | 12/11/2013 |
| Medicare PECOS PAC ID | 3779771670 |
|---|---|
| Medicare Enrollment ID | O20101220000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326030701 | NPI | - | NPPES |
| 124450000 | Medicaid | ME | |
| 124450001 | Medicaid | ME | |
| 124450100 | Medicaid | ME |
| Provider Name | Elizabeth S. Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376945469 PECOS PAC ID: 1658657978 Enrollment ID: I20170420001536 |
| Provider Name | Kaycee L Theberge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407226079 PECOS PAC ID: 2163854639 Enrollment ID: I20191121002176 |
| Provider Name | Sarah E Andreotta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639667025 PECOS PAC ID: 8527488949 Enrollment ID: I20201022003824 |
| Provider Name | Angela M Barbato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932414497 PECOS PAC ID: 8325351968 Enrollment ID: I20210105001699 |
| Provider Name | Meghan E Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780246850 PECOS PAC ID: 3375931322 Enrollment ID: I20211026000078 |
| Provider Name | Anna Bianconi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023735131 PECOS PAC ID: 2466808670 Enrollment ID: I20231024003786 |
| Provider Name | Hollie R Brewer-cushman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548045982 PECOS PAC ID: 4486000437 Enrollment ID: I20231026002734 |
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