Active NPIIndividual providerSole proprietor

Jennifer M Holesha, LMSW-CC

Social Worker, Clinical in Brewer, Maine

NPI Number1023592714
Practice location
797 Wilson St, Brewer, ME 04412
Fax
—
Last updated
March 31, 2019

Jennifer Marie Holesha is a Social Worker, Clinical based in Brewer, ME. Jennifer Marie Holesha practices in Brewer, ME and has the professional credentials of LMSW-CC. The NPI Number for Jennifer Marie Holesha is 1023592714 and holds a License No. MC17643 (ME). The current practice location address for Jennifer Marie Holesha is 797 Wilson St, Brewer, ME 04412 and can be reached out via phone at 207-973-6494.

Provider Profile Details

NPI Number
1023592714
Provider Name
Jennifer Marie Holesha
Credential
LMSW-CC
Provider Entity Type
Individual
Gender
Female
Address
797 Wilson St, Brewer, ME 04412
Phone Number
207-973-6494
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 19, 2018
Last Update Date
March 31, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
797 Wilson St
Brewer, ME 04412
City
Brewer
State
Maine
Zip
04412
Phone Number
207-973-6494
Brewer, ME 04412Get directions →

Provider Business Mailing Address Details

Address
797 Wilson St
Brewer, ME 04412-1000
City
Brewer
State
ME
Zip
04412-1000
Phone Number
207-973-6494

License Information

License Number
MC17643
License State
ME
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer M Holesha, LMSW-CC?

The NPI number of Jennifer M Holesha, LMSW-CC is 1023592714. It was assigned on September 19, 2018 and is currently active in the NPPES registry.

What is the specialty of Jennifer M Holesha, LMSW-CC?

Jennifer M Holesha, LMSW-CC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number MC17643.

Where does Jennifer M Holesha, LMSW-CC practice?

The practice location is 797 Wilson St, Brewer, ME 04412. The office can be reached at 207-973-6494 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023592714 directly on the NPPES registry website.

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