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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699795369 | NPPES |
Maine | MEDICAID | 431824699 | |
Maine | MEDICAID | 1699795369 |
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