Theresa Flannery-blachura (NPI# 1154448785, PAC ID# 1153492004) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1154448785 |
| PAC ID by PECOS | 1153492004 |
| Professional Enrollment ID | I20080619000564 |
| Full Name | Theresa Flannery-blachura |
| Organization Legal Name | NORTHERN LIGHTHOUSE INC |
| Address |
14 Main St Mars Hill ME 04758-3402 |
| Phone Number | 2074253880105 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2769611805 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 14 Main St, Mars Hill, ME 04758-3402 | 2074253880105 | NORTHERN LIGHTHOUSE INC |
| Organization Legal Name | NORTHERN LIGHTHOUSE INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Cyr | Clinical Social Worker | Northern Lighthouse Inc | 14 Main St, Mars Hill, ME 04758-3402 |
| Sheila A Shaw | Clinical Social Worker | Northern Lighthouse Inc | 14 Main St, Mars Hill, ME 04758-3402 |
| Angela M Burlock | Clinical Social Worker | Northern Lighthouse Inc | 14 Main St, Mars Hill, ME 04758-3402 |
| Street Address |
14 MAIN ST |
| City | MARS HILL |
| State | ME |
| Zip | 04758-3402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria A Brucculeri | Psychologist, Clinical | 14 Main St, Southboro, MA 01772-1614 | |
| James Cyr | Clinical Social Worker | Northern Lighthouse Inc | 14 Main St, Mars Hill, ME 04758-3402 |
| Sheila A Shaw | Clinical Social Worker | Northern Lighthouse Inc | 14 Main St, Mars Hill, ME 04758-3402 |
| Angela M Burlock | Clinical Social Worker | Northern Lighthouse Inc | 14 Main St, Mars Hill, ME 04758-3402 |
| Julie Roebuck | Clinical Social Worker | 14 Main St, Suite 203, Madison, NJ 07940-1818 | |
| Marie G Rudden | Psychiatry | 14 Main St, West Stockbridge, MA 01266-9707 | |
| Daryle N Luplow | Chiropractic | 14 Main St, Attica, NY 14011-1009 | |
| Jacob E Pudenz | Chiropractic | 14 Main St, Newhall, IA 52315-8800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelby J Stiles | Nurse Practitioner | Aroostook Medical Center | 106 Main St, Mars Hill, ME 04758-3403 |
| City | MARS HILL |
| Zip Code | 04758 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | MARS HILL + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Theresa Flannery-blachura.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.