NANCY MAIELLO LICSW LLC NPI 1558634246

NPI Information

NPI: 1558634246
Provider Name: NANCY MAIELLO LICSW LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
90 WHITNEY AVE
PORTLAND, ME
ZIP 04102
Phone: (207) 752-0731
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NANCY MAIELLO LICSW LLC is an adult mental health clinic center in Portland, ME. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. NANCY MAIELLO LICSW LLC NPI is 1558634246. The provider is registered as an organization entity type.

The provider's business location address is:

90 WHITNEY AVE
PORTLAND, ME
ZIP 04102-586
Phone: (207) 752-0731

The provider's authorized official is Nancy Maiello .
The authorized official title is Owner and has the following contact phone number (207) 752-0731.

The enumeration date for this NPI number is 2/12/2012 and was last updated on 10/4/2021.

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	251S00000X	Community/Behavioral Health		653	NEW HAMPSHIRE	No
2	261QM0850X	Clinic/Center	Adult Mental Health			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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