Hersey, Jane W

Hersey, Jane W is an individual health care provider with primary practice located at 100 Campus Ave Ste A&B , Lewiston ME 04240. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hersey, Jane W can be contacted via phone (207) 755-3434.

Contact Information

Primary practice address
100 Campus Ave Ste A&B Lewiston ME 04240
Phone: (207) 755-3434
Fax: (207) 755-3474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC4798 Maine

Profile Details

NPI number 1023067469
LBN Legal business name Hersey, Jane W
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 11th, 2019 - about 5 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 1023067469 NPPES
Maine MEDICAID 252700099

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