Active NPIIndividual provider

Andrew J Breault, LMSW

Counselor in Fairfield, Maine

NPI Number1780221119
Practice location
121 Main St, Fairfield, ME 04937-1528
Fax
207-453-4502
Last updated
December 4, 2019

Andrew Jay Breault is a Counselor based in Fairfield, ME. Andrew Jay Breault practices in Fairfield, ME and has the professional credentials of LMSW. The NPI Number for Andrew Jay Breault is 1780221119 and holds a License No. MC18240 (ME). The current practice location address for Andrew Jay Breault is 121 Main St, Fairfield, ME 04937-1528 and can be reached out via phone at 207-453-4500 and via fax at 207-453-4502.

Provider Profile Details

NPI Number
1780221119
Provider Name
Andrew Jay Breault
Credential
LMSW
Provider Entity Type
Individual
Gender
Male
Address
121 Main St, Fairfield, ME 04937-1528
Phone Number
207-453-4500
Fax Number
207-453-4502
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
December 4, 2019
Last Update Date
December 4, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 Main St
Fairfield, ME 04937-1528
State
Maine
Zip
04937-1528
Phone Number
207-453-4500
Fax Number
207-453-4502
Fairfield, ME 04937Get directions →

Provider Business Mailing Address Details

Address
121 Main St
Fairfield, ME 04937-1528
City
Fairfield
State
ME
Zip
04937-1528
Phone Number
207-453-4500

License Information

License Number
MC18240
License State
ME
Taxonomy
Counselor · 101Y00000X · 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 Andrew J Breault, LMSW?

The NPI number of Andrew J Breault, LMSW is 1780221119. It was assigned on December 4, 2019 and is currently active in the NPPES registry.

What is the specialty of Andrew J Breault, LMSW?

Andrew J Breault, LMSW is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in ME under license number MC18240.

Where does Andrew J Breault, LMSW practice?

The practice location is 121 Main St, Fairfield, ME 04937-1528. The office can be reached at 207-453-4500 (phone) or 207-453-4502 (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 1780221119 directly on the NPPES registry website.

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