Individual
MS. BARBARA KERRIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
268 STATE ST, BANGOR, ME 04401-5417
(207) 990-0188
(207) 990-6604
Mailing address
268 STATE ST, BANGOR, ME 04401-5417
(207) 990-0188
(207) 990-6604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5937
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14Z030228ME01
ANTHEM BILLING ID#
ME
01
—
154540199
HEALTH PLANS INC. ID#
ME
05
—
154540199
—
ME
Enumeration date
08/31/2006
Last updated
09/26/2009
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