Active NPIIndividual provider

Mr. Michael A Fasulo, LCSW

Social Worker, Clinical in Houlton, Maine

NPI Number1740497221
Practice location
2 Water St, Suite 2, Houlton, ME 04730-2126
Fax
207-532-5518
Last updated
July 9, 2007

Michael Arthur Fasulo is a Social Worker, Clinical based in Houlton, ME. Michael Arthur Fasulo practices in Houlton, ME and has the professional credentials of LCSW. The NPI Number for Michael Arthur Fasulo is 1740497221 and holds a License No. LC493 (ME). The current practice location address for Michael Arthur Fasulo is 2 Water St, Suite 2, Houlton, ME 04730-2126 and can be reached out via phone at 207-532-5510 and via fax at 207-532-5518.

Provider Profile Details

NPI Number
1740497221
Provider Name
Michael Arthur Fasulo
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
2 Water St, Suite 2, Houlton, ME 04730-2126
Phone Number
207-532-5510
Fax Number
207-532-5518
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 16, 2007
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Water St
Suite 2
Houlton, ME 04730-2126
State
Maine
Zip
04730-2126
Phone Number
207-532-5510
Fax Number
207-532-5518
Houlton, ME 04730Get directions →

Provider Business Mailing Address Details

Address
27 Maple St
Houlton, ME 04730-1826
City
Houlton
State
ME
Zip
04730-1826
Phone Number
207-532-2631

License Information

License Number
LC493
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 Mr. Michael A Fasulo, LCSW?

The NPI number of Mr. Michael A Fasulo, LCSW is 1740497221. It was assigned on May 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael A Fasulo, LCSW?

Mr. Michael A Fasulo, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC493.

Where does Mr. Michael A Fasulo, LCSW practice?

The practice location is 2 Water St, Suite 2, Houlton, ME 04730-2126. The office can be reached at 207-532-5510 (phone) or 207-532-5518 (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 1740497221 directly on the NPPES registry website.

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