Active NPIIndividual provider

Tia R Robertson, LMSW-CC

Social Worker, Clinical in Biddeford, Maine

NPI Number1861157372
Practice location
22 W Cole RD Ste 103, Biddeford, ME 04005-9431
Fax
207-571-9927
Last updated
November 8, 2021

Tia R Robertson is a Social Worker, Clinical based in Biddeford, ME. Tia R Robertson practices in Biddeford, ME and has the professional credentials of LMSW-CC. The NPI Number for Tia R Robertson is 1861157372 and holds a License No. LC12104 (ME). The current practice location address for Tia R Robertson is 22 W Cole RD Ste 103, Biddeford, ME 04005-9431 and can be reached out via phone at 207-571-9923 and via fax at 207-571-9927.

Provider Profile Details

NPI Number
1861157372
Provider Name
Tia R Robertson
Credential
LMSW-CC
Provider Entity Type
Individual
Gender
Female
Address
22 W Cole RD Ste 103, Biddeford, ME 04005-9431
Phone Number
207-571-9923
Fax Number
207-571-9927
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 1, 2021
Last Update Date
November 8, 2021
Certification Date
November 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 W Cole RD Ste 103
Biddeford, ME 04005-9431
State
Maine
Zip
04005-9431
Phone Number
207-571-9923
Fax Number
207-571-9927
Biddeford, ME 04005Get directions →

Provider Business Mailing Address Details

Address
22 W Cole RD Ste 103
Biddeford, ME 04005-9431
City
Biddeford
State
ME
Zip
04005-9431
Phone Number
207-571-9923
Fax Number
207-571-9927

License Information

License Number (1)
LC12104
License State (1)
ME
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
MC19706
License State (2)
ME
Taxonomy (2)
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 Tia R Robertson, LMSW-CC?

The NPI number of Tia R Robertson, LMSW-CC is 1861157372. It was assigned on November 1, 2021 and is currently active in the NPPES registry.

What is the specialty of Tia R Robertson, LMSW-CC?

Tia R Robertson, LMSW-CC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC12104.

Where does Tia R Robertson, LMSW-CC practice?

The practice location is 22 W Cole RD Ste 103, Biddeford, ME 04005-9431. The office can be reached at 207-571-9923 (phone) or 207-571-9927 (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 1861157372 directly on the NPPES registry website.

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