Active NPIIndividual providerSole proprietor

Jill E Avery, LCSW

Social Worker, Clinical in Gardiner, Maine

NPI Number1740445147
Practice location
418 Water St, Gardiner, ME 04345-2058
Fax
—
Last updated
November 26, 2008

Jill Ellen Bishop Avery is a Social Worker, Clinical based in Gardiner, ME. Jill Ellen Bishop Avery practices in Gardiner, ME and has the professional credentials of LCSW. The NPI Number for Jill Ellen Bishop Avery is 1740445147 and holds a License No. LC11640 (ME). The current practice location address for Jill Ellen Bishop Avery is 418 Water St, Gardiner, ME 04345-2058 and can be reached out via phone at 207-588-0235.

Provider Profile Details

NPI Number
1740445147
Provider Name
Jill Ellen Bishop Avery
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
418 Water St, Gardiner, ME 04345-2058
Phone Number
207-588-0235
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 24, 2008
Last Update Date
November 26, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
418 Water St
Gardiner, ME 04345-2058
State
Maine
Zip
04345-2058
Phone Number
207-588-0235
Gardiner, ME 04345Get directions →

Provider Business Mailing Address Details

Address
418 Water St
Gardiner, ME 04345-2058
City
Gardiner
State
ME
Zip
04345-2058
Phone Number
207-588-0235

License Information

License Number (1)
LC11640
License State (1)
ME
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
LC11640
License State (2)
ME
Taxonomy (2)
Social Worker · 104100000X

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 Jill E Avery, LCSW?

The NPI number of Jill E Avery, LCSW is 1740445147. It was assigned on July 24, 2008 and is currently active in the NPPES registry.

What is the specialty of Jill E Avery, LCSW?

Jill E Avery, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC11640.

Where does Jill E Avery, LCSW practice?

The practice location is 418 Water St, Gardiner, ME 04345-2058. The office can be reached at 207-588-0235 (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 1740445147 directly on the NPPES registry website.

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