Marybeth James-O'Connor in Lewiston - Clinical

Marybeth James-O'Connor - NPI 1912054057

Marybeth James-O'Connor is a Clinical in Lewiston, Maine. Marybeth James-O'Connor practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marybeth James-O'Connor is 1912054057. The last update date is 2013-01-23.

Marybeth James-O'Connor's current location address is 466 Main St, Lewiston, Maine. You can contact this provider via phone number 2077824209 and fax number 2073333296. The mailing address for Marybeth James-O'Connor is 466 Main St, Lewiston, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Marybeth James-O'Connor
Address 466 Main St, Lewiston, Maine
Phone Number 2077824209
Fax Number 2073333296
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1912054057
Provider Enumeration Date 2007-01-04
Last Updated Date 2013-01-23

Provider Mailing Address Detail

Address 466 Main St
City Lewiston
State Maine (ME)
Post Code 42406748
Phone Number 2077824209
Fax Number 2073333296

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LC2180
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
211500000 ME --

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FAQs about Marybeth James-O'Connor

What is the unique 10-digit identifier code issued to Marybeth James-O'Connor by the Centers for Medicare & Medicaid Services?

The Marybeth James-O'Connor has been assigned the NPI (National Provider Identifier) 1912054057 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Marybeth James-O'Connor is located?

The Marybeth James-O'Connor is situated at the following address: 466 Main St, Lewiston, ME, 42406748.

What is Marybeth James-O'Connor's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Marybeth James-O'Connor's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date was the 1912054057 assigned to Marybeth James-O'Connor?

The Marybeth James-O'Connor was issued its 1912054057 on 2007-01-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Marybeth James-O'Connor, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Marybeth James-O'Connor, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-01-23.

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