Active NPIIndividual providerSole proprietor

Lisa T Jung, LCSW

Counselor, Mental Health in Ellsworth, Maine

NPI Number1700100724
Practice location
75 State St, Ellsworth, ME 04605-1947
Fax
—
Last updated
March 19, 2010

Lisa Tymeson Jung is a Counselor, Mental Health based in Ellsworth, ME. Lisa Tymeson Jung practices in Ellsworth, ME and has the professional credentials of LCSW. The NPI Number for Lisa Tymeson Jung is 1700100724 and holds a License No. LC7628 (ME). The current practice location address for Lisa Tymeson Jung is 75 State St, Ellsworth, ME 04605-1947 and can be reached out via phone at 207-745-9399.

Provider Profile Details

NPI Number
1700100724
Provider Name
Lisa Tymeson Jung
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
75 State St, Ellsworth, ME 04605-1947
Phone Number
207-745-9399
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
March 19, 2010
Last Update Date
March 19, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 State St
Ellsworth, ME 04605-1947
State
Maine
Zip
04605-1947
Phone Number
207-745-9399
Ellsworth, ME 04605Get directions →

Provider Business Mailing Address Details

Address
75 State St
Ellsworth, ME 04605-1947
City
Ellsworth
State
ME
Zip
04605-1947
Phone Number
207-745-9399

License Information

License Number (1)
LC7628
License State (1)
ME
License Number (2)
LC7628
License State (2)
ME
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Counselor, Mental Health providers near Ellsworth, ME

View all Counselor, Mental Health providers in Ellsworth →

Frequently Asked Questions

What is the NPI number of Lisa T Jung, LCSW?

The NPI number of Lisa T Jung, LCSW is 1700100724. It was assigned on March 19, 2010 and is currently active in the NPPES registry.

What is the specialty of Lisa T Jung, LCSW?

Lisa T Jung, LCSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in ME under license number LC7628.

Where does Lisa T Jung, LCSW practice?

The practice location is 75 State St, Ellsworth, ME 04605-1947. The office can be reached at 207-745-9399 (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 1700100724 directly on the NPPES registry website.

Browse related providers