Carroll, Maryann J

Carroll, Maryann J is an individual health care provider with primary practice located at 25 Bedell St , Portland ME 04103-1705. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Carroll, Maryann J can be contacted via phone (207) 415-8908.

Contact Information

Primary practice address
25 Bedell St Portland ME 04103-1705
Phone: (207) 415-8908
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X LC8071 Maine
Behavioral Health & Social Service Providers / Clinical 103TC0700X LC8071 Maine
Behavioral Health & Social Service Providers / Counseling 103TC1900X LC8071 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC8071 Maine

Profile Details

NPI number 1992712103
LBN Legal business name Carroll, Maryann J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Aug 6th, 2008 - about 16 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 1992712103 NPPES
Maine MEDICAID 104760200
Maine MEDICAID 104760201

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