| Stephanie Rose Tranchemontagne, Lcsw Llc | |
|
95 India St Portland ME 04101-4250 | |
| (207) 502-5090 | |
| Not Available |
| Full Name | Stephanie Rose Tranchemontagne, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 95 India St, Portland, Maine |
| Authorized Official Name and Position | Stephanie R Tranchemontagne (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 2075025090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Rose Tranchemontagne, Lcsw Llc 23 Haley Rd Arundel ME 04046-7975 Ph: (207) 502-5090 | Stephanie Rose Tranchemontagne, Lcsw Llc 95 India St Portland ME 04101-4250 Ph: (207) 502-5090 |
| NPI Number | 1225663883 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Medicare PECOS PAC ID | 9638508377 |
|---|---|
| Medicare Enrollment ID | O20200401002235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225663883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stephanie Rose Tranchemontagne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841407517 PECOS PAC ID: 5294014163 Enrollment ID: I20161116002175 |
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