Active NPIIndividual providerSole proprietor

Ms. Jacquelyn C Dodge, LCSW

Social Worker, Clinical in Ellsworth, Maine

NPI Number1700080579
Practice location
198 Main St, Ellsworth, ME 04605-1941
Fax
—
Last updated
July 8, 2007

Jacquelyn Conway Dodge is a Social Worker, Clinical based in Ellsworth, ME. Jacquelyn Conway Dodge practices in Ellsworth, ME and has the professional credentials of LCSW. The NPI Number for Jacquelyn Conway Dodge is 1700080579 and holds a License No. 1775 (ME). The current practice location address for Jacquelyn Conway Dodge is 198 Main St, Ellsworth, ME 04605-1941 and can be reached out via phone at 207-667-9278.

Provider Profile Details

NPI Number
1700080579
Provider Name
Jacquelyn Conway Dodge
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
198 Main St, Ellsworth, ME 04605-1941
Phone Number
207-667-9278
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 13, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
198 Main St
Ellsworth, ME 04605-1941
State
Maine
Zip
04605-1941
Phone Number
207-667-9278
Ellsworth, ME 04605Get directions →

Provider Business Mailing Address Details

Address
1002 Bayside RD
Trenton, ME 04605-6513
City
Trenton
State
ME
Zip
04605-6513
Phone Number
207-667-9278

License Information

License Number
1775
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 Ms. Jacquelyn C Dodge, LCSW?

The NPI number of Ms. Jacquelyn C Dodge, LCSW is 1700080579. It was assigned on June 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Jacquelyn C Dodge, LCSW?

Ms. Jacquelyn C Dodge, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number 1775.

Where does Ms. Jacquelyn C Dodge, LCSW practice?

The practice location is 198 Main St, Ellsworth, ME 04605-1941. The office can be reached at 207-667-9278 (phone).

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 1700080579 directly on the NPPES registry website.

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