Karla Bock, LCSW

Individual provider Active NPI Clinical Social Worker · Farmington, ME

NPI 1487764361 · NPPES record last updated Nov 22, 2010

Key facts

NPI
1487764361
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LC1086 (ME)
Practice address
186 Main Street
Suite 3
Farmington, ME 04938
Phone
(207) 778-0300
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LC1086MEMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC1086 ME Yes

Addresses

Primary practice location

186 Main Street
Suite 3
Farmington, ME 04938

Mailing address

168 Starks Road
Karla Bock LCSW
New Sharon, ME 04955-3240
Phone (207) 778-0300

Other identifiers

IdentifierTypeStateIssuer
212410099MedicaidME

Other providers in Farmington, ME

All providers in Farmington, ME · Clinical Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.