Bock, Karla
Bock, Karla is an individual health care provider with primary practice located at 186 Main Street Suite 3, Farmington ME 04938. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bock, Karla can be contacted via phone (207) 778-0300.Contact Information
Primary practice address
186 Main Street Suite 3
Farmington ME 04938
Phone: (207) 778-0300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC1086 | Maine |
Profile Details
| NPI number | 1487764361 |
|---|---|
| LBN Legal business name | Bock, Karla |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Nov 22nd, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487764361 | NPPES |
| Maine | MEDICAID | 212410099 |
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