Librizzi, Tara

Librizzi, Tara is an individual health care provider with primary practice located at 1 Stackpole Road , Machias ME 04654. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Librizzi, Tara can be contacted via phone (207) 255-0996.

Contact Information

Primary practice address
1 Stackpole Road Machias ME 04654
Phone: (207) 255-0996
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC6137 Maine

Profile Details

NPI number 1639296528
LBN Legal business name Librizzi, Tara
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 29th, 2010 - 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 1639296528 NPPES
Maine MEDICAID 282860099

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