Doctor Name: | MS. LEA ELAINE WINN |
NPI Number: | 1104011220 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC6117 |
Business Practice Address: | 1 Lincoln St Suite 8 Bath, ME - 045302100 |
Business Phone Number: | 2074061650 |
Business Fax Number: | |
Mailing Address: | 20 Katherine St, 33 BRUNSWICK |
State: | ME |
Postal Code: | 040111683 |
Phone Number: | 2074061650 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2007 |
NPI Last Update Date: | 12/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC6117 |
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 |