Doctor Name: | JENNIFER WEST |
NPI Number: | 1083924336 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC13735 |
Business Practice Address: | 110 Main St Suite 1200 Saco, ME - 040723509 |
Business Phone Number: | 2072292398 |
Business Fax Number: | 2075713263 |
Mailing Address: | 110 Main St, Suite 1200 SACO |
State: | ME |
Postal Code: | 040723509 |
Phone Number: | 2072292398 |
Fax Number: | 2075713263 |
NPI Enumeration Date: | 10/19/2010 |
NPI Last Update Date: | 08/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC13735 |
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 |