Constance A Poulin, LCSW CCS

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LC8161 Issued in ME

Practice address

6 Stillwater Avenue
University Mall
Orono, ME 04473

Phone

(207) 827-4150

Fax

(207) 827-4180

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Constance A Finnemore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124048418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046050787",
            "telephone_number": "207-667-0909",
            "fax_number": "207-664-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STILLWATER AVENUE",
            "address_2": "UNIVERSITY MALL",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "04473",
            "telephone_number": "207-827-4150",
            "fax_number": "207-827-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULIN",
        "first_name": "CONSTANCE",
        "middle_name": "A",
        "credential": "LCSW CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC8161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANCE",
            "last_name": "FINNEMORE",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Benjamin Randall, ATC
• Garrett A Randolph, L.C.S.W.

• Social Worker in Orono, ME
• Providers in Orono, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.