| Lauren Burleigh Lcsw Llc | |
|
6 Federal St Brunswick ME 04011-1508 | |
| (207) 798-1806 | |
| Not Available |
| Full Name | Lauren Burleigh Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6 Federal St, Brunswick, Maine |
| Authorized Official Name and Position | Lauren Burleigh (MANAGING MEMBER) |
| Authorized Official Contact | 2077981806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Burleigh Lcsw Llc 16 Noble St Brunswick ME 04011-2437 Ph: (207) 798-1806 | Lauren Burleigh Lcsw Llc 6 Federal St Brunswick ME 04011-1508 Ph: (207) 798-1806 |
| NPI Number | 1003452178 |
|---|---|
| Provider Enumeration Date | 11/22/2019 |
| Last Update Date | 02/19/2020 |
| Certification Date | 02/19/2020 |
| Medicare PECOS PAC ID | 2466883301 |
|---|---|
| Medicare Enrollment ID | O20200511000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003452178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lauren Burleigh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811406440 PECOS PAC ID: 4082044540 Enrollment ID: I20200423002265 |
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