Slaven, Ivelisse

Slaven, Ivelisse is an individual health care provider with primary practice located at 1 Va Ctr , Augusta ME 04330-6795. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Slaven, Ivelisse can be contacted via phone (207) 623-8411.

Contact Information

Primary practice address
1 Va Ctr Augusta ME 04330-6795
Phone: (207) 623-8411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LC8692 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC8692 Maine

Profile Details

NPI number 1467409615
LBN Legal business name Slaven, Ivelisse
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Aug 25th, 2020 - about 6 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 1467409615 NPPES
Maine Other 098304 ANTHEM LEGACY NUMBER
Maine MEDICAID 294220099 ANTHEM LEGACY NUMBER

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