Active NPIIndividual provider

Ellen R Culberson, LCSW

Social Worker, Clinical in Lewiston, Maine

NPI Number1275057309
Practice location
100 Campus Ave Ste A&b, Lewiston, ME 04240-6040
Fax
207-784-6826
Last updated
December 17, 2021

Ellen Rose Pogson Culberson is a Social Worker, Clinical based in Lewiston, ME. Ellen Rose Pogson Culberson practices in Lewiston, ME and has the professional credentials of LCSW. The NPI Number for Ellen Rose Pogson Culberson is 1275057309 and holds a License No. MC16765 (ME). The current practice location address for Ellen Rose Pogson Culberson is 100 Campus Ave Ste A&b, Lewiston, ME 04240-6040 and can be reached out via phone at 207-755-3434 and via fax at 207-784-6826.

Provider Profile Details

NPI Number
1275057309
Provider Name
Ellen Rose Pogson Culberson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
100 Campus Ave Ste A&b, Lewiston, ME 04240-6040
Phone Number
207-755-3434
Fax Number
207-784-6826
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Ellen R Pogson, LCSW (Former Name)
Provider Enumeration Date
July 31, 2017
Last Update Date
December 17, 2021
Certification Date
December 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Campus Ave Ste A&b
Lewiston, ME 04240-6040
State
Maine
Zip
04240-6040
Phone Number
207-755-3434
Fax Number
207-784-6826
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
C/O St Marys Health System - Provider Enrollment
Po Box 7291
Lewiston, ME 04243-7291
City
Lewiston
State
ME
Zip
04243-7291
Phone Number
207-777-8950
Fax Number
207-777-8800

License Information

License Number (1)
MC16765
License State (1)
ME
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
LC18186
License State (2)
ME
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 Ellen R Culberson, LCSW?

The NPI number of Ellen R Culberson, LCSW is 1275057309. It was assigned on July 31, 2017 and is currently active in the NPPES registry.

What is the specialty of Ellen R Culberson, LCSW?

Ellen R Culberson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number MC16765.

Where does Ellen R Culberson, LCSW practice?

The practice location is 100 Campus Ave Ste A&b, Lewiston, ME 04240-6040. The office can be reached at 207-755-3434 (phone) or 207-784-6826 (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 1275057309 directly on the NPPES registry website.

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