Smith, Sandra J

Smith, Sandra J is an individual health care provider with primary practice located at 66 Baribeau Dr Suite 1A, Brunswick ME 04011-3230. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Smith, Sandra J can be contacted via phone (207) 373-6996.

Contact Information

Primary practice address
66 Baribeau Dr Suite 1A Brunswick ME 04011-3230
Phone: (207) 373-6996
Fax: (207) 373-6959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC4728 Maine
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC5088 Maine

Profile Details

NPI number 1043500929
LBN Legal business name Smith, Sandra J
Credentials LADC, CCS, LMSW-CC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2011
Last updated Jul 16th, 2024 - about 2 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 1043500929 NPPES
Maine MEDICAID 102140100

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