LAWRENCE JOEL HERDADE LCSW NPI 1609173673

NPI Information

NPI: 1609173673
Provider Name: LAWRENCE JOEL HERDADE, LCSW
Classification: Social Worker - 1041S0200X
Entity Type: Individual

Specialization: School

Address:
195 NORTH ST
PORTLAND, ME
ZIP 04101
Phone: (207) 874-8228
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Lawrence Joel Herdade, LCSW is a school social worker in Portland, ME. Lawrence Joel Herdade, LCSW NPI is 1609173673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

195 NORTH ST
PORTLAND, ME
ZIP 04101-734
Phone: (207) 874-8228
Fax: (207) 874-8234

The enumeration date for this NPI number is 2/28/2011 and was last updated on 2/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	LC1169	MAINE	No
2	1041S0200X	Social Worker	School	LC1169	MAINE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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