James-O'Connor, Marybeth

James-O'Connor, Marybeth is an sole proprietor health care provider with primary practice located at 466 Main St Suite #300, Lewiston ME 04240-6748. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. James-O'Connor, Marybeth can be contacted via phone (207) 782-4209.

Contact Information

Primary practice address
466 Main St Suite #300 Lewiston ME 04240-6748
Phone: (207) 782-4209
Fax: (207) 333-3291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC2180 Maine

Profile Details

NPI number 1912054057
LBN Legal business name James-O'Connor, Marybeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jan 23rd, 2013 - 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 1912054057 NPPES
Maine MEDICAID 211500000

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