Active NPIIndividual providerSole proprietor

Jessica N Weary, LCSW

Social Worker, Clinical in Poland, Maine

NPI Number1225204134
Practice location
1203 Maine St., Poland, ME 04274
Fax
207-998-2232
Last updated
April 12, 2013

Jessica N Weary is a Social Worker, Clinical based in Poland, ME. Jessica N Weary practices in Poland, ME and has the professional credentials of LCSW. The NPI Number for Jessica N Weary is 1225204134 and holds a License No. LC11308 (ME). The current practice location address for Jessica N Weary is 1203 Maine St., Poland, ME 04274 and can be reached out via phone at 207-310-0026 and via fax at 207-998-2232.

Provider Profile Details

NPI Number
1225204134
Provider Name
Jessica N Weary
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1203 Maine St., Poland, ME 04274
Phone Number
207-310-0026
Fax Number
207-998-2232
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 1, 2008
Last Update Date
April 12, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1203 Maine St.
Poland, ME 04274
City
Poland
State
Maine
Zip
04274
Phone Number
207-310-0026
Fax Number
207-998-2232
Poland, ME 04274Get directions →

Provider Business Mailing Address Details

Address
122 Summit Spring RD
Poland, ME 04274
City
Poland
State
ME
Zip
04274
Phone Number
207-310-0026
Fax Number
207-998-2232

License Information

License Number (1)
LC11308
License State (1)
ME
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
LC11308
Taxonomy (2)
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 Jessica N Weary, LCSW?

The NPI number of Jessica N Weary, LCSW is 1225204134. It was assigned on May 1, 2008 and is currently active in the NPPES registry.

What is the specialty of Jessica N Weary, LCSW?

Jessica N Weary, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC11308.

Where does Jessica N Weary, LCSW practice?

The practice location is 1203 Maine St., Poland, ME 04274. The office can be reached at 207-310-0026 (phone) or 207-998-2232 (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 1225204134 directly on the NPPES registry website.

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