Cust, Diana
Cust, Diana is an sole proprietor health care provider with primary practice located at 15 Saunders Way , Westbrook ME 04092-4833. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cust, Diana can be contacted via phone (207) 878-9663.Contact Information
Primary practice address
15 Saunders Way
Westbrook ME 04092-4833
Phone: (207) 878-9663
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC17042 | Maine |
Profile Details
| NPI number | 1548626211 |
|---|---|
| LBN Legal business name | Cust, Diana |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2016 |
| Last updated | Oct 14th, 2025 - about last year |
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 | 1548626211 | NPPES |
| Maine | MEDICAID | 1740340132 |
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