Curtis, Carolyn C

Curtis, Carolyn C is an sole proprietor health care provider with primary practice located at 11 Main St , Kennebunk ME 04043-7005. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Curtis, Carolyn C can be contacted via phone (207) 229-6270.

Contact Information

Primary practice address
11 Main St Kennebunk ME 04043-7005
Phone: (207) 229-6270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC1422 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC7368 Maine

Profile Details

NPI number 1912915273
LBN Legal business name Curtis, Carolyn C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Mar 13th, 2014 - about 12 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 1912915273 NPPES
Maine MEDICAID 289840099

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