Active NPIIndividual providerSole proprietor

Ms. Jessica M Basaldua, LMSW-CC

Social Worker in Lewiston, Maine

NPI Number1992344329
Practice location
75 Central Ave, Lewiston, ME 04240-6031
Fax
207-753-6419
Last updated
March 9, 2022

Jessica Megan Basaldua is a Social Worker based in Lewiston, ME. Jessica Megan Basaldua practices in Lewiston, ME and has the professional credentials of LMSW-CC. The NPI Number for Jessica Megan Basaldua is 1992344329 and holds a License No. CAC6933 (ME). The current practice location address for Jessica Megan Basaldua is 75 Central Ave, Lewiston, ME 04240-6031 and can be reached out via phone at 207-795-4180 and via fax at 207-753-6419.

Provider Profile Details

NPI Number
1992344329
Provider Name
Jessica Megan Basaldua
Credential
LMSW-CC
Provider Entity Type
Individual
Gender
Female
Address
75 Central Ave, Lewiston, ME 04240-6031
Phone Number
207-795-4180
Fax Number
207-753-6419
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 2, 2020
Last Update Date
March 9, 2022
Certification Date
March 9, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Central Ave
Lewiston, ME 04240-6031
State
Maine
Zip
04240-6031
Phone Number
207-795-4180
Fax Number
207-753-6419
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
101 East Ave
Lewiston, ME 04240-5662
City
Lewiston
State
ME
Zip
04240-5662
Phone Number
207-777-3399

License Information

License Number (1)
CAC6933
License State (1)
ME
License Number (2)
MC20649
License State (2)
ME
Taxonomy (2)
Social Worker · 104100000X · 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 Ms. Jessica M Basaldua, LMSW-CC?

The NPI number of Ms. Jessica M Basaldua, LMSW-CC is 1992344329. It was assigned on January 2, 2020 and is currently active in the NPPES registry.

What is the specialty of Ms. Jessica M Basaldua, LMSW-CC?

Ms. Jessica M Basaldua, LMSW-CC is registered under the primary taxonomy Social Worker (code 104100000X), licensed in ME under license number CAC6933.

Where does Ms. Jessica M Basaldua, LMSW-CC practice?

The practice location is 75 Central Ave, Lewiston, ME 04240-6031. The office can be reached at 207-795-4180 (phone) or 207-753-6419 (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 1992344329 directly on the NPPES registry website.

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