| Peter Lindblom Lcsw Llc | |
|
8 Cumberland St Brunswick ME 04011-2158 | |
| (781) 635-3455 | |
| Not Available |
| Full Name | Peter Lindblom Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8 Cumberland St, Brunswick, Maine |
| Authorized Official Name and Position | Peter Lindblom (OWNER) |
| Authorized Official Contact | 7816353455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Lindblom Lcsw Llc 8 Cumberland St Brunswick ME 04011-2158 Ph: (781) 635-3455 | Peter Lindblom Lcsw Llc 8 Cumberland St Brunswick ME 04011-2158 Ph: (781) 635-3455 |
| NPI Number | 1992582381 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 7315395969 |
|---|---|
| Medicare Enrollment ID | O20231121001372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992582381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Peter Lindblom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831667302 PECOS PAC ID: 4486069838 Enrollment ID: I20210216002719 |
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