Active NPIIndividual providerSole proprietor

Mrs. Michele A Burgess, LSW-C

Social Worker in Randolph, Maine

NPI Number1558610881
Practice location
9 Hillcrest Avenue, Randolph, ME 04346
Fax
207-582-9653
Last updated
August 31, 2012

Michele Ann Mathieu Burgess is a Social Worker based in Randolph, ME. Michele Ann Mathieu Burgess practices in Randolph, ME and has the professional credentials of LSW-C. The NPI Number for Michele Ann Mathieu Burgess is 1558610881 and holds a License No. LSX13488 (ME). The current practice location address for Michele Ann Mathieu Burgess is 9 Hillcrest Avenue, Randolph, ME 04346 and can be reached out via phone at 207-582-9205 and via fax at 207-582-9653.

Provider Profile Details

NPI Number
1558610881
Provider Name
Michele Ann Mathieu Burgess
Credential
LSW-C
Provider Entity Type
Individual
Gender
Female
Address
9 Hillcrest Avenue, Randolph, ME 04346
Phone Number
207-582-9205
Fax Number
207-582-9653
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 31, 2012
Last Update Date
August 31, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Hillcrest Avenue
Randolph, ME 04346
State
Maine
Zip
04346
Phone Number
207-582-9205
Fax Number
207-582-9653
Randolph, ME 04346Get directions →

Provider Business Mailing Address Details

Address
899 Riverside Street
Portland, ME 04103
City
Portland
State
ME
Zip
04103
Phone Number
207-871-1211
Fax Number
207-871-1232

License Information

License Number
LSX13488
License State
ME
Taxonomy
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 Mrs. Michele A Burgess, LSW-C?

The NPI number of Mrs. Michele A Burgess, LSW-C is 1558610881. It was assigned on August 31, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Michele A Burgess, LSW-C?

Mrs. Michele A Burgess, LSW-C is registered under the primary taxonomy Social Worker (code 104100000X), licensed in ME under license number LSX13488.

Where does Mrs. Michele A Burgess, LSW-C practice?

The practice location is 9 Hillcrest Avenue, Randolph, ME 04346. The office can be reached at 207-582-9205 (phone) or 207-582-9653 (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 1558610881 directly on the NPPES registry website.

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