Amy Goode Lcsw Llc - Medicare Mental Health Clinic in Bangor, ME

Amy Goode Lcsw Llc is a medicare enrolled mental health clinic (Clinic/center - Adult Mental Health) in Bangor, Maine. The current practice location for Amy Goode Lcsw Llc is 47 Main St Ste 235, Bangor, Maine. For appointments, you can reach them via phone at (207) 241-9697. The mailing address for Amy Goode Lcsw Llc is Po Box 574, Topsham, Maine and phone number is (207) 272-0744.

Amy Goode Lcsw Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1588355713. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (207) 241-9697.

Contact Information

Amy Goode Lcsw Llc
47 Main St Ste 235
Bangor
ME 04401-6330
(207) 241-9697
Not Available

Mental Health Clinic Profile

Full NameAmy Goode Lcsw Llc
SpecialityClinic/Center
Location47 Main St Ste 235, Bangor, Maine
Authorized Official Name and PositionAmy E Goode (CLINICAL SOCIAL WORKER/THERAPIST)
Authorized Official Contact2072720744
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amy Goode Lcsw Llc
Po Box 574
Topsham
ME 04086-0574

Ph: (207) 272-0744
Amy Goode Lcsw Llc
47 Main St Ste 235
Bangor
ME 04401-6330

Ph: (207) 241-9697

NPI Details:

NPI Number1588355713
Provider Enumeration Date05/18/2023
Last Update Date09/20/2023
Certification Date09/20/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3375903289
Medicare Enrollment IDO20230724001502

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Medical Identifiers

Medical identifiers for Amy Goode Lcsw Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588355713NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Amy Goode Lcsw Llc acts as a billing entity for following providers:
Provider NameAmy Goode
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992396857
PECOS PAC ID: 8527475268
Enrollment ID: I20210325001602

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