Active NPIOrganization

Shaker Pond Counseling LLC

Social Worker, Clinical in Alfred, Maine

NPI Number1134628811
Practice location
200 Waterboro RD, Alfred, ME 04002-3247
Fax
—
Last updated
February 7, 2018

Shaker Pond Counseling LLC is a healthcare organization based in Alfred, ME. Shaker Pond Counseling LLC practices in Alfred, ME. The NPI Number for Shaker Pond Counseling LLC is 1134628811 and holds a License No. LC3505 (ME). The current practice location address for Shaker Pond Counseling LLC is 200 Waterboro RD, Alfred, ME 04002-3247 and can be reached out via phone at 207-324-8222.

Provider Profile Details

NPI Number
1134628811
Provider Name
Shaker Pond Counseling LLC
Provider Entity Type
Organization
Address
200 Waterboro RD, Alfred, ME 04002-3247
Phone Number
207-324-8222
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Lana Clough, LCSW · Owner · 207-324-8222
Provider Enumeration Date
February 7, 2018
Last Update Date
February 7, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Waterboro RD
Alfred, ME 04002-3247
City
Alfred
State
Maine
Zip
04002-3247
Phone Number
207-324-8222
Alfred, ME 04002Get directions →

Provider Business Mailing Address Details

Address
Po Box 53
Alfred, ME 04002-0053
City
Alfred
State
ME
Zip
04002-0053
Phone Number
207-324-8222

License Information

License Number
LC3505
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 Shaker Pond Counseling LLC?

The NPI number of Shaker Pond Counseling LLC is 1134628811. It was assigned on February 7, 2018 and is currently active in the NPPES registry.

What is the specialty of Shaker Pond Counseling LLC?

Shaker Pond Counseling LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC3505.

Where does Shaker Pond Counseling LLC practice?

The practice location is 200 Waterboro RD, Alfred, ME 04002-3247. The office can be reached at 207-324-8222 (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 1134628811 directly on the NPPES registry website.

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