Chase, Clayne M

Chase, Clayne M is an individual health care provider with primary practice located at 393 Sabattus St , Lewiston ME 04240-5439. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Chase, Clayne M can be contacted via phone (207) 782-9551.

Contact Information

Primary practice address
393 Sabattus St Lewiston ME 04240-5439
Phone: (207) 782-9551
Fax: (207) 784-6826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC5762 Maine

Profile Details

NPI number 1912956459
LBN Legal business name Chase, Clayne M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Feb 17th, 2009 - about 15 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 1912956459 NPPES
Maine MEDICAID 313300099

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