Robertson, Sadie Anna

Robertson, Sadie Anna is an individual health care provider with primary practice located at 23 Willow St , Yarmouth ME 04096-6935. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Robertson, Sadie Anna can be contacted via phone (978) 394-1290.

Contact Information

Primary practice address
23 Willow St Yarmouth ME 04096-6935
Phone: (978) 394-1290
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC11420 Maine

Profile Details

NPI number 1902015654
LBN Legal business name Robertson, Sadie Anna
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated May 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902015654 NPPES
Maine MEDICAID 417150099

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