Greaves, Jennifer Warren
Greaves, Jennifer Warren is an sole proprietor health care provider with primary practice located at 106 Skylark Rd , Portland ME 04103-2082. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Greaves, Jennifer Warren can be contacted via phone (207) 831-2580.Contact Information
Primary practice address
106 Skylark Rd
Portland ME 04103-2082
Phone: (207) 831-2580
Fax: (207) 221-2957
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LC1990 | Maine |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC2965 | Maine |
Profile Details
NPI number | 1902865397 |
---|---|
LBN Legal business name | Greaves, Jennifer Warren |
Credentials | L.C.S.W., L.A.D.C. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 22nd, 2006 |
Last updated | Jun 25th, 2019 - about 6 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 | 1902865397 | NPPES |
Maine | Other | 079201 | ANTHEM |
Maine | MEDICAID | 328620099 | ANTHEM |
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