Active NPIIndividual providerSole proprietor

Miss Angie M Shahmoradi, LCSW

Social Worker, Clinical in Fairfield, Maine

NPI Number1164567905
Practice location
Po Box 358, Fairfield, ME 04937-0358
Fax
207-453-7064
Last updated
March 28, 2025

Angie M. Shahmoradi is a Social Worker, Clinical based in Fairfield, ME. Angie M. Shahmoradi practices in Fairfield, ME and has the professional credentials of LCSW. The NPI Number for Angie M. Shahmoradi is 1164567905 and holds a License No. LC17434 (ME). The current practice location address for Angie M. Shahmoradi is Po Box 358, Fairfield, ME 04937-0358 and can be reached out via phone at 207-453-4708 and via fax at 207-453-7064.

Provider Profile Details

NPI Number
1164567905
Provider Name
Angie M. Shahmoradi
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
Po Box 358, Fairfield, ME 04937-0358
Phone Number
207-453-4708
Fax Number
207-453-7064
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Miss Angie M. Collins (Former Name)
Provider Enumeration Date
February 20, 2007
Last Update Date
March 28, 2025
Certification Date
March 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
Po Box 358
Fairfield, ME 04937-0358
State
Maine
Zip
04937-0358
Phone Number
207-453-4708
Fax Number
207-453-7064
Fairfield, ME 04937Get directions →

Provider Business Mailing Address Details

Address
Po Box 358
Fairfield, ME 04937-0358
City
Fairfield
State
ME
Zip
04937-0358
Phone Number
207-453-4708
Fax Number
207-453-7064

License Information

License Number
LC17434
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 Miss Angie M Shahmoradi, LCSW?

The NPI number of Miss Angie M Shahmoradi, LCSW is 1164567905. It was assigned on February 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Miss Angie M Shahmoradi, LCSW?

Miss Angie M Shahmoradi, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC17434.

Where does Miss Angie M Shahmoradi, LCSW practice?

The practice location is Po Box 358, Fairfield, ME 04937-0358. The office can be reached at 207-453-4708 (phone) or 207-453-7064 (fax).

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 1164567905 directly on the NPPES registry website.

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