Thompson, Shelby Ann
Thompson, Shelby Ann is an individual health care provider with primary practice located at 175 Auburn Street , Portland ME 04103. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thompson, Shelby Ann can be contacted via phone (207) 874-8215.Contact Information
Primary practice address
175 Auburn Street
Portland ME 04103
Phone: (207) 874-8215
Fax: (207) 874-8218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC10924 | Maine |
Profile Details
| NPI number | 1912023433 |
|---|---|
| LBN Legal business name | Thompson, Shelby Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1912023433 | NPPES |
| Maine | MEDICAID | 431686199 |
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