Alicia M Willis is a Clinical in Portland, Maine. Alicia M Willis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alicia M Willis is 1003986340. The last update date is 2007-07-09.
Alicia M Willis's current location address is 17 Bishop St, Portland, Maine. You can contact this provider via phone number 2078711235 and fax number 2078796161. The mailing address for Alicia M Willis is 17 Bishop St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alicia M Willis |
|---|---|
| Address | 17 Bishop St, Portland, Maine |
| Phone Number | 2078711235 |
| Fax Number | 2078796161 |
| Sole Proprietor | N |
| Credentials | CAC |
NPI Number Detail
| NPI Number | 1003986340 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 17 Bishop St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41032659 |
| Phone Number | 2078711235 |
| Fax Number | 2078796161 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CAC2998 |
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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 |
|---|---|---|---|
| RB9 | ME | ANTHEM |
Post Comment/ Review Below
What is the Alicia M Willis's 1003986340?
The Alicia M Willis's NPI (National Provider Identifier) Number is 1003986340. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Alicia M Willis?
The Alicia M Willis is physically situated at 17 Bishop St, in the city of Portland, state of ME, with the postal code 41032659.
What is Alicia M Willis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Alicia M Willis is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1003986340 assigned to Alicia M Willis?
The Alicia M Willis was issued its 1003986340 on 2006-11-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Alicia M Willis most recently updated or refreshed?
The details pertaining to the Alicia M Willis, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
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