Theresa Joan Weigel, LCSW
Individual provider Active NPI Clinical Social Worker · Blue Hill, ME
NPI 1407948896 · NPPES record last updated Jun 11, 2010
Key facts
- NPI
- 1407948896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC3576 (ME)
- Practice address
- 6 Mines Road
Suite I
Blue Hill, ME 04614 - Phone
- (207) 374-5780
- Fax
- (207) 374-5780
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6 Mines Rd
Suite I
Blue Hill, ME 04614-6408
Phone (207) 374-5780
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 |
|---|---|---|---|---|
| I20050628000097 | ME | Practitioner - Clinical Social Worker | 1254376478 | Practice locations: Blue Hill, ME |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC3576 | ME | Yes |
Addresses
Primary practice location
6 Mines Road
Suite I
Blue Hill, ME 04614
Mailing address
P.O. 1161
Blue Hill, ME 04614
Phone (207) 374-5780
Other names
- Theresa Joan Bickford
Other providers in Blue Hill, ME
- John Tyler
- Variable Movement LLC
- Walgreen Eastern Co Inc
- Robert S. Walker
- Gwendolyn Warren
- Wellness Chiropractic P.C,
- James Philip White
- Richard A. Wiemer
- Ayesha Zahid
- Elizabeth L. Zentz
All providers in Blue Hill, 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 Jun 11, 2010. 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.