Milja Brecher-Demuro, LCSW
Individual provider Active NPI Clinical Social Worker · Bar Harbor, ME
NPI 1326355207 · NPPES record last updated Dec 11, 2020
Key facts
- NPI
- 1326355207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC13783 (ME)
- Practice address
- 1489 State Highway 102
Bar Harbor, ME 04609-7021 - Phone
- (207) 288-3388
- Fax
- (207) 288-9888
- NPI assigned
- Sep 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1489 State Hwy 102
Bar Harbor, ME 04609-7021
Phone 20728833883
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130513000472 | ME | Practitioner - Clinical Social Worker | 5294972147 | Practice locations: Bar Harbor, ME |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC12711 | ME | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadia Family Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MC12711 | ME | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MC12711 | ME | |
| Clinical Social Worker | 1041C0700X | LC13783 | ME | Yes |
Addresses
Primary practice location
1489 State Highway 102
Bar Harbor, ME 04609-7021
Mailing address
1489 State Highway 102
Bar Harbor, ME 04609-7021
Phone (207) 288-3388
Other providers in Bar Harbor, ME
- John Benson
- John Paul Bernhard III
- Phoebe Best-Devenish
- Birch Bay Retirement Village
- Bruce Bosinger
- Contessa L Brophy
- Mark O Brown
- Ruby R Brown
- Pilar S Burmeister
- William Cash Byer
All providers in Bar Harbor, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.