| Janie J. Gendron, Lcsw, Pllc | |
|
1 Varrell Ln Ste 18 York ME 03909-1058 | |
| (207) 337-1778 | |
| Not Available |
| Full Name | Janie J. Gendron, Lcsw, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1 Varrell Ln Ste 18, York, Maine |
| Authorized Official Name and Position | Janie Gendron (OWNER) |
| Authorized Official Contact | 2073371778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janie J. Gendron, Lcsw, Pllc 427 Cider Hill Rd York ME 03909-5306 Ph: (207) 337-1778 | Janie J. Gendron, Lcsw, Pllc 1 Varrell Ln Ste 18 York ME 03909-1058 Ph: (207) 337-1778 |
| NPI Number | 1235845983 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 01/26/2023 |
| Certification Date | 01/26/2023 |
| Medicare PECOS PAC ID | 6305218488 |
|---|---|
| Medicare Enrollment ID | O20230220000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235845983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Janie James Gendron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750607164 PECOS PAC ID: 9234174400 Enrollment ID: I20050628000503 |
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