| Diane Harris Lcsw Cadc Llc | |
|
201 Main St Ste 2 Westbrook ME 04092-4763 | |
| (207) 653-7885 | |
| Not Available |
| Full Name | Diane Harris Lcsw Cadc Llc |
|---|---|
| Speciality | Social Worker |
| Location | 201 Main St Ste 2, Westbrook, Maine |
| Authorized Official Name and Position | Diane Harris (THERAPIST) |
| Authorized Official Contact | 2076537885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Harris Lcsw Cadc Llc 15 Running Brook Rd Windham ME 04062-5160 Ph: (207) 653-7885 | Diane Harris Lcsw Cadc Llc 201 Main St Ste 2 Westbrook ME 04092-4763 Ph: (207) 653-7885 |
| NPI Number | 1447035530 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/28/2023 |
| Medicare PECOS PAC ID | 5294185856 |
|---|---|
| Medicare Enrollment ID | O20231221002960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447035530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Diane M Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184734170 PECOS PAC ID: 4880796333 Enrollment ID: I20070301000312 |
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