ERVIN W LORD LCSW NPI 1659391886

NPI Information

NPI: 1659391886
Provider Name: ERVIN W LORD, LCSW
Classification: Counselor - 101Y00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
60 FRONT ST
WATERVILLE, ME
ZIP 04901
Phone: (207) 649-1098
Get Directions

Ervin W Lord, LCSW is a counselor in Waterville, ME. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Ervin W Lord, LCSW NPI is 1659391886. 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:

60 FRONT ST
WATERVILLE, ME
ZIP 04901-658
Phone: (207) 649-1098

The NPI 1659391886 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 7/6/2009.

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	101Y00000X	Counselor		LC6939	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	ME1464	MEDICARE ID-TYPE UNSPECIFIED	MAINE
2	431642699	MEDICAID	MAINE
3	431823900	MEDICAID	MAINE

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: 11/14/2023

NPI Synchronization or Removal

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