Active NPIIndividual providerSole proprietor

Mary L Fredricks, LCSW

Social Worker, Clinical in Livermore Falls, Maine

NPI Number1376510412
Practice location
38 Union St, Livermore Falls, ME 04254
Fax
207-897-4339
Last updated
November 15, 2012

Mary Lavina Fredricks is a Social Worker, Clinical based in Livermore Falls, ME. Mary Lavina Fredricks practices in Livermore Falls, ME and has the professional credentials of LCSW. The NPI Number for Mary Lavina Fredricks is 1376510412 and holds a License No. ME129365 (ME). The current practice location address for Mary Lavina Fredricks is 38 Union St, Livermore Falls, ME 04254 and can be reached out via phone at 207-897-6601 and via fax at 207-897-4339.

Provider Profile Details

NPI Number
1376510412
Provider Name
Mary Lavina Fredricks
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
38 Union St, Livermore Falls, ME 04254
Phone Number
207-897-6601
Fax Number
207-897-4339
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 8, 2006
Last Update Date
November 15, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
38 Union St
Livermore Falls, ME 04254
State
Maine
Zip
04254
Phone Number
207-897-6601
Fax Number
207-897-4339
Livermore Falls, ME 04254Get directions →

Provider Business Mailing Address Details

Address
38 Union St
Livermore Falls, ME 04254
City
Livermore Falls
State
ME
Zip
04254
Phone Number
207-897-6601
Fax Number
207-897-4339

License Information

License Number
ME129365
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 Mary L Fredricks, LCSW?

The NPI number of Mary L Fredricks, LCSW is 1376510412. It was assigned on March 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Mary L Fredricks, LCSW?

Mary L Fredricks, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number ME129365.

Where does Mary L Fredricks, LCSW practice?

The practice location is 38 Union St, Livermore Falls, ME 04254. The office can be reached at 207-897-6601 (phone) or 207-897-4339 (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 1376510412 directly on the NPPES registry website.

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