Leslie B Connolly is a Clinical in Portland, Maine. Leslie B Connolly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leslie B Connolly is 1700923448. The last update date is 2016-11-18.
Leslie B Connolly's current location address is 25 Middle St, Portland, Maine. You can contact this provider via phone number 2078319871. The mailing address for Leslie B Connolly is 25 Middle St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie B Connolly |
|---|---|
| Address | 25 Middle St, Portland, Maine |
| Phone Number | 2078319871 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1700923448 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2016-11-18 |
Provider Mailing Address Detail
| Address | 25 Middle St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 410148690 |
| Phone Number | 2078319871 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC10877 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 274500099 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Leslie B Connolly by the Centers for Medicare & Medicaid Services?
The Leslie B Connolly has been issued the NPI (National Provider Identifier) 1700923448 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Leslie B Connolly?
The Leslie B Connolly is physically situated at 25 Middle St, in the city of Portland, state of ME, with the postal code 410148690.
What is Leslie B Connolly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Leslie B Connolly is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700923448 to Leslie B Connolly?
The Leslie B Connolly received its 1700923448 assignment from the Centers for Medicare & Medicaid Services on 2007-01-31.
As of what date was the information regarding Leslie B Connolly, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leslie B Connolly, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-11-18.