Jesse Cyr Corbin in South Portland - Clinical
Jesse Cyr Corbin - NPI 1134396641
Jesse Cyr Corbin is a Clinical in South Portland, Maine. Jesse Cyr Corbin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jesse Cyr Corbin is 1134396641. The last update date is 2013-02-20.
Jesse Cyr Corbin's current location address is 78 Atlantic Pl, South Portland, Maine. You can contact this provider via phone number 2078427736 and fax number 2078427773. The mailing address for Jesse Cyr Corbin is 78 Atlantic Pl, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse Cyr Corbin |
|---|---|
| Address | 78 Atlantic Pl, South Portland, Maine |
| Phone Number | 2078427736 |
| Fax Number | 2078427773 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1134396641 |
|---|---|
| Provider Enumeration Date | 2008-05-14 |
| Last Updated Date | 2013-02-20 |
Provider Mailing Address Detail
| Address | 78 Atlantic Pl |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 41062316 |
| Phone Number | 2078427736 |
| Fax Number | 2078427773 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC11595 |
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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 |
|---|---|---|---|
| 432298899 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jesse Cyr Corbin by the Centers for Medicare & Medicaid Services?
The Jesse Cyr Corbin has been assigned the NPI (National Provider Identifier) 1134396641 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jesse Cyr Corbin's facilities are situated?
The facilities of Jesse Cyr Corbin are physically located at the following address: 78 Atlantic Pl, South Portland, ME, 41062316.
What is the Jesse Cyr Corbin's area of specialization and corresponding taxonomy classification?
The Jesse Cyr Corbin's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1134396641 assigned to Jesse Cyr Corbin?
The Jesse Cyr Corbin was issued its 1134396641 on 2008-05-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jesse Cyr Corbin's details last updated?
The information pertaining to the Jesse Cyr Corbin, including its address, specialty, and other details, was most recently updated on 2013-02-20.