Carbone, Lisa Jane

Carbone, Lisa Jane is an individual health care provider with primary practice located at 8 South Main St , Madison ME 04950. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carbone, Lisa Jane can be contacted via phone (207) 696-3992.

Contact Information

Primary practice address
8 South Main St Madison ME 04950
Phone: (207) 696-3992
Fax: (207) 696-3974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC5494 Maine

Profile Details

NPI number 1699795369
LBN Legal business name Carbone, Lisa Jane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Mar 7th, 2014 - about 11 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 1699795369 NPPES
Maine MEDICAID 431824699
Maine MEDICAID 1699795369

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