Margaret Coakley, MSW

Individual provider Active NPI Social Worker · Damaniscotta, ME

NPI 1497895346 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497895346
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
LC5186 (ME)
Practice address
165 Main St
Damaniscotta, ME 04543
Phone
(207) 677-2993
Fax
(207) 677-6185
NPI assigned
Feb 8, 2007
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
LC5186MEMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LC5186 ME Yes

Addresses

Primary practice location

165 Main St
Damaniscotta, ME 04543

Mailing address

PO Box 251
New Harbor, ME 04554
Phone (207) 677-2993

Other identifiers

IdentifierTypeStateIssuer
039287OtherMEANTHEM
146650OtherMEVALUE OPTIONS
MHN321117OtherMEMANAGED HEALTH NETWORK
146650OtherNYVALUE OPTIONS

Sources for this page

Verify at the official NPI Registry.