Small, Mary
Small, Mary is an sole proprietor health care provider with primary practice located at 176 Livermore Falls Rd Ste A, Farmington ME 04938-6243. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Small, Mary can be contacted via phone (207) 512-4801.Contact Information
Primary practice address
176 Livermore Falls Rd Ste A
Farmington ME 04938-6243
Phone: (207) 512-4801
Fax: (207) 778-4939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC6846 | Maine |
Profile Details
| NPI number | 1770594681 |
|---|---|
| LBN Legal business name | Small, Mary |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Aug 22nd, 2009 - about 16 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 | 1770594681 | NPPES |
| Maine | MEDICAID | 431894599 |
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