Wentworth, Roberta P.

Wentworth, Roberta P. is an individual health care provider with primary practice located at 474 Main St , Springvale ME 04083-1409. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wentworth, Roberta P. can be contacted via phone (207) 324-1500.

Contact Information

Primary practice address
474 Main St Springvale ME 04083-1409
Phone: (207) 324-1500
Fax: (207) 490-5263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC447 Maine

Profile Details

NPI number 1972688950
LBN Legal business name Wentworth, Roberta P.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Nov 5th, 2012 - about 13 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 1972688950 NPPES
Maine MEDICAID 257080099

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