Herdade, Lawrence Joel

Herdade, Lawrence Joel is an sole proprietor health care provider with primary practice located at 195 North St , Portland ME 04101-2734. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is his primary health care specialty. Herdade, Lawrence Joel can be contacted via phone (207) 874-8228.

Contact Information

Primary practice address
195 North St Portland ME 04101-2734
Phone: (207) 874-8228
Fax: (207) 874-8234
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC1169 Maine
Behavioral Health & Social Service Providers / School 1041S0200X LC1169 Maine

Profile Details

NPI number 1609173673
LBN Legal business name Herdade, Lawrence Joel
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2011
Last updated Feb 28th, 2011 - about 13 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.

Request for update

Popular Providers