Stacey M. Ouellette in South Portland - Clinical
Stacey M. Ouellette - NPI 1508979774
Stacey M. Ouellette is a Clinical in South Portland, Maine. Stacey M. Ouellette practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacey M. Ouellette is 1508979774. The last update date is 2019-10-22.
Stacey M. Ouellette's current location address is 78 Atlantic Place, South Portland, Maine. You can contact this provider via phone number 2078427700 and fax number 2078427773. The mailing address for Stacey M. Ouellette is 78 Atlantic Place, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey M. Ouellette |
|---|---|
| Address | 78 Atlantic Place, South Portland, Maine |
| Phone Number | 2078427700 |
| Fax Number | 2078427773 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1508979774 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2019-10-22 |
Provider Mailing Address Detail
| Address | 78 Atlantic Place |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 41062316 |
| Phone Number | 2078427700 |
| Fax Number | 2078427773 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC11307 |
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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 |
|---|---|---|---|
| 431955199 | ME | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Stacey M. Ouellette?
The Stacey M. Ouellette has been issued the NPI (National Provider Identifier) 1508979774 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Stacey M. Ouellette?
The Stacey M. Ouellette is physically situated at 78 Atlantic Place, in the city of South Portland, state of ME, with the postal code 41062316.
What is the Stacey M. Ouellette's specialty and taxonomy code?
The Stacey M. Ouellette's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508979774 to Stacey M. Ouellette?
The Centers for Medicare & Medicaid Services originally issued the 1508979774 to Stacey M. Ouellette on 2006-08-15.
As of what date was the information regarding Stacey M. Ouellette, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stacey M. Ouellette, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-10-22.