O'Connor, Colleen M

O'Connor, Colleen M is an individual health care provider with primary practice located at 195 Fore River Pkwy Ste 160 , Portland ME 04102-2782. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. O'Connor, Colleen M can be contacted via phone (207) 553-6700.

Contact Information

Primary practice address
195 Fore River Pkwy Ste 160 Portland ME 04102-2782
Phone: (207) 553-6700
Fax: (207) 553-6730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X MC9899 Maine

Profile Details

NPI number 1912916321
LBN Legal business name O'Connor, Colleen M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Oct 2nd, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912916321 NPPES
Maine MEDICAID 404880099

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