Doctor Name: | ELAINE R GOODRICH |
NPI Number: | 1285659557 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC1140 |
Business Practice Address: | 22a Ossipee Trail West Standish, ME - 04084 |
Business Phone Number: | 2076422098 |
Business Fax Number: | 2076428976 |
Mailing Address: | Po Box 824, STANDISH |
State: | ME |
Postal Code: | 040840824 |
Phone Number: | 2076422098 |
Fax Number: | 2076428976 |
NPI Enumeration Date: | 07/13/2006 |
NPI Last Update Date: | 01/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC1140 |
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 |