Jocelyn Mae Livermore in Portland - Clinical

Jocelyn Mae Livermore - NPI 1114025095

Jocelyn Mae Livermore is a Clinical in Portland, Maine. Jocelyn Mae Livermore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jocelyn Mae Livermore is 1114025095. The last update date is 2007-07-08.

Jocelyn Mae Livermore's current location address is 104 Pennell Ave, Portland, Maine. You can contact this provider via phone number 2072727076. The mailing address for Jocelyn Mae Livermore is 104 Pennell Ave, Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Jocelyn Mae Livermore
Address 104 Pennell Ave, Portland, Maine
Phone Number 2072727076
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1114025095
Provider Enumeration Date 2006-09-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 104 Pennell Ave
City Portland
State Maine (ME)
Post Code 41032030
Phone Number 2072727076
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LC9112
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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FAQs about Jocelyn Mae Livermore

What is the unique identifier code issued to Jocelyn Mae Livermore by the Centers for Medicare & Medicaid Services?

The Jocelyn Mae Livermore has been assigned the NPI (National Provider Identifier) 1114025095. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jocelyn Mae Livermore's facilities are situated?

The facilities of Jocelyn Mae Livermore are physically located at the following address: 104 Pennell Ave, Portland, ME, 41032030.

What is Jocelyn Mae Livermore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jocelyn Mae Livermore is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114025095 to Jocelyn Mae Livermore?

The Centers for Medicare & Medicaid Services originally issued the 1114025095 to Jocelyn Mae Livermore on 2006-09-21.

As of what date was the information regarding Jocelyn Mae Livermore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jocelyn Mae Livermore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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