| Patricia Siragusa Engdahl Lcsw, Llc | |
|
444 Main St Lewiston ME 04240-6737 | |
| (207) 431-4718 | |
| Not Available |
| Full Name | Patricia Siragusa Engdahl Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 444 Main St, Lewiston, Maine |
| Authorized Official Name and Position | Patricia Siragusa Engdahl (CEO) |
| Authorized Official Contact | 2074314718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Siragusa Engdahl Lcsw, Llc 444 Main St Lewiston ME 04240-6737 Ph: (207) 431-4718 | Patricia Siragusa Engdahl Lcsw, Llc 444 Main St Lewiston ME 04240-6737 Ph: (207) 431-4718 |
| NPI Number | 1396465530 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Medicare PECOS PAC ID | 5597133926 |
|---|---|
| Medicare Enrollment ID | O20221116001505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396465530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Patricia S Engdahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629016621 PECOS PAC ID: 8224406665 Enrollment ID: I20221117001944 |
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