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6 Common St # 301 Saco ME 04072-3308 | |
| (207) 450-3793 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 6 Common St # 301, Saco, Maine |
| Authorized Official Name and Position | Erik Inbar (OWNER/LCSW) |
| Authorized Official Contact | 2074503793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
6 Common St # 301 Saco ME 04072-3308 Ph: (207) 450-3793 | 6 Common St # 301 Saco ME 04072-3308 Ph: (207) 450-3793 |
| NPI Number | 1487497293 |
|---|---|
| Provider Enumeration Date | 06/18/2024 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Medicare PECOS PAC ID | 9931643582 |
|---|---|
| Medicare Enrollment ID | O20240708000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487497293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Erik Inbar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043802622 PECOS PAC ID: 6608221346 Enrollment ID: I20231016001654 |
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