Michel O Thomsen, LMSW-CC

Individual provider Active NPI Social Worker · Southwest Harbor, ME

NPI 1023487550 · NPPES record last updated Sep 15, 2015

Key facts

NPI
1023487550
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
MC15644 (ME)
Practice address
1 Fernald Point Rd
Southwest Harbor, ME 04679-4614
Phone
(207) 244-4012
NPI assigned
Sep 15, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MC15644MEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Acadia Family Center Past
since Aug 1, 2016
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MC15644 ME Yes

Addresses

Primary practice location

1 Fernald Point Rd
Southwest Harbor, ME 04679-4614

Mailing address

PO Box 807
Southwest Harbor, ME 04679-0807
Phone (207) 244-4012

Other providers in Southwest Harbor, ME

All providers in Southwest Harbor, ME · Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.