Alicea, Olga
Alicea, Olga is an sole proprietor health care provider with primary practice located at 180 Park Ave , Portland ME 04102-2957. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Alicea, Olga can be contacted via phone (207) 874-2141.Contact Information
Primary practice address
180 Park Ave
Portland ME 04102-2957
Phone: (207) 874-2141
Fax: (207) 874-2164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC13087 | Maine |
Profile Details
| NPI number | 1497070155 |
|---|---|
| LBN Legal business name | Alicea, Olga |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2010 |
| Last updated | Jan 19th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497070155 | NPPES |
| Maine | MEDICAID | 432723599 |
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