Doctor Name: | JANE W HERSEY |
NPI Number: | 1023067469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC4798 |
Business Practice Address: | 393 Sabattus St Lewiston, ME - 042405439 |
Business Phone Number: | 2077829551 |
Business Fax Number: | 2077846826 |
Mailing Address: | Po Box 10187, ALBANY |
State: | NY |
Postal Code: | 122015187 |
Phone Number: | 2077774111 |
Fax Number: | 2077836660 |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 02/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC4798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |