Tingley Prince, Jennifer M

Tingley Prince, Jennifer M is an individual health care provider with primary practice located at 62 Elm St , Portland ME 04101-3091. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Tingley Prince, Jennifer M can be contacted via phone (207) 553-7056.

Contact Information

Primary practice address
62 Elm St Portland ME 04101-3091
Phone: (207) 553-7056
Fax: (207) 773-2082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LC10171 Maine

Profile Details

NPI number 1275570400
LBN Legal business name Tingley Prince, Jennifer M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Aug 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275570400 NPPES
Maine Other 098304 ANTHEM LEGACY NUMBER
Maine MEDICAID 431515399 ANTHEM LEGACY NUMBER

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