Moira Maclean-Wideman
Counselor, Mental Health in Andover, Massachusetts
1942677471- Practice location
- 40 Shattuck RD Ste 250, Andover, MA 01810-2492
- Phone
- 978-222-3121
- Fax
- 617-376-8910
- Last updated
- April 23, 2024
Moira Maclean-Wideman is a Counselor, Mental Health based in Andover, MA. Moira Maclean-Wideman practices in Andover, MA. The NPI Number for Moira Maclean-Wideman is 1942677471 and holds a License No. LMHC10002094 (MA). The current practice location address for Moira Maclean-Wideman is 40 Shattuck RD Ste 250, Andover, MA 01810-2492 and can be reached out via phone at 978-222-3121 and via fax at 617-376-8910.
Provider Profile Details
- NPI Number
- 1942677471
- Provider Name
- Moira Maclean-Wideman
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 40 Shattuck RD Ste 250, Andover, MA 01810-2492
- Phone Number
- 978-222-3121
- Fax Number
- 617-376-8910
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 1, 2015
- Last Update Date
- April 23, 2024
- Certification Date
- April 23, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Shattuck RD Ste 250
Andover, MA 01810-2492 - City
- Andover
- State
- Massachusetts
- Zip
- 01810-2492
- Phone Number
- 978-222-3121
- Fax Number
- 617-376-8910
Provider Business Mailing Address Details
- Address
- 40 Shattuck RD Ste 250
Andover, MA 01810-2492 - City
- Andover
- State
- MA
- Zip
- 01810-2492
- Phone Number
- 978-222-3121
License Information
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
- License Number (3)
- LMHC10002094
- License State (3)
- MA
- Taxonomy (3)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Andover, MA
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- Antonietta DeanCounselor, Mental Health · NPI 1295568020
- Armani G FiatoCounselor, Mental Health · NPI 1225946015
- Ashley S Visniewski, LMHC, LCMHCCounselor, Mental Health · NPI 1912312562
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Frequently Asked Questions
What is the NPI number of Moira Maclean-Wideman?
The NPI number of Moira Maclean-Wideman is 1942677471. It was assigned on September 1, 2015 and is currently active in the NPPES registry.
What is the specialty of Moira Maclean-Wideman?
Moira Maclean-Wideman is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number LMHC10002094.
Where does Moira Maclean-Wideman practice?
The practice location is 40 Shattuck RD Ste 250, Andover, MA 01810-2492. The office can be reached at 978-222-3121 (phone) or 617-376-8910 (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 1942677471 directly on the NPPES registry website.