Active NPIIndividual providerSole proprietor

Ms. Jean A Feldeisen, LCSW, LADC

Social Worker in Gardiner, Maine

NPI Number1396858809
Practice location
17 Brunswick Avenue, Suite 6, Gardiner, ME 04345-2123
Fax
207-588-0040
Last updated
September 29, 2010

Jean Anne Feldeisen is a Social Worker based in Gardiner, ME. Jean Anne Feldeisen practices in Gardiner, ME and has the professional credentials of LCSW, LADC. The NPI Number for Jean Anne Feldeisen is 1396858809 and holds a License No. LC2249 (ME). The current practice location address for Jean Anne Feldeisen is 17 Brunswick Avenue, Suite 6, Gardiner, ME 04345-2123 and can be reached out via phone at 207-588-0040 and via fax at 207-588-0040.

Provider Profile Details

NPI Number
1396858809
Provider Name
Jean Anne Feldeisen
Credential
LCSW, LADC
Provider Entity Type
Individual
Gender
Female
Address
17 Brunswick Avenue, Suite 6, Gardiner, ME 04345-2123
Phone Number
207-588-0040
Fax Number
207-588-0040
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 17, 2006
Last Update Date
September 29, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Brunswick Avenue
Suite 6
Gardiner, ME 04345-2123
State
Maine
Zip
04345-2123
Phone Number
207-588-0040
Fax Number
207-588-0040
Gardiner, ME 04345Get directions →

Provider Business Mailing Address Details

Address
17 Brunswick Avenue
Suite 6
Gardiner, ME 04345-2123
City
Gardiner
State
ME
Zip
04345-2123
Phone Number
207-588-0040
Fax Number
207-588-0040

License Information

License Number (1)
LC2249
License State (1)
ME
License Number (2)
LC8044
License State (2)
ME
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
LC8044
License State (3)
ME
Taxonomy (3)
Social Worker · 104100000X · 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 Ms. Jean A Feldeisen, LCSW, LADC?

The NPI number of Ms. Jean A Feldeisen, LCSW, LADC is 1396858809. It was assigned on August 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Jean A Feldeisen, LCSW, LADC?

Ms. Jean A Feldeisen, LCSW, LADC is registered under the primary taxonomy Social Worker (code 104100000X), licensed in ME under license number LC2249.

Where does Ms. Jean A Feldeisen, LCSW, LADC practice?

The practice location is 17 Brunswick Avenue, Suite 6, Gardiner, ME 04345-2123. The office can be reached at 207-588-0040 (phone) or 207-588-0040 (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 1396858809 directly on the NPPES registry website.

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