Canavan, Patricia A

Canavan, Patricia A is an individual health care provider with primary practice located at 162 Main St , Presque Isle ME 04769-2817. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Canavan, Patricia A can be contacted via phone (207) 768-3304.

Contact Information

Primary practice address
162 Main St Presque Isle ME 04769-2817
Phone: (207) 768-3304
Fax: (207) 764-6340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LC8211 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC8211 Maine

Profile Details

NPI number 1093734345
LBN Legal business name Canavan, Patricia A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated May 24th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093734345 NPPES
Maine Other 200828 ANTHEM
Maine Other 9454062 ANTHEM
Maine MEDICAID 1093734345 ANTHEM

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