Jean Susan Adamson, LCSW
Individual provider Active NPI Clinical Social Worker · Lincoln, ME
NPI 1124355151 · NPPES record last updated Nov 12, 2009
Key facts
- NPI
- 1124355151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC6206 (ME)
- Practice address
- 12 Marietta Drive
Lincoln, ME 04457-0125 - Phone
- (207) 941-8727
- Fax
- (207) 992-2784
- NPI assigned
- Nov 12, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6206 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allies, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC6206 | ME | Yes |
Addresses
Primary practice location
12 Marietta Drive
Lincoln, ME 04457-0125
Mailing address
21 Main St.
Ste 301
Bangor, ME 04401-6359
Phone (207) 941-8727
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 325010099 | Medicaid | ME |
Other names
- Ms. Jean Susan Bertolaet
Other providers in Lincoln, ME
- Katie Marie Adams
- Oluwapelumi Aderonke Adeloye
- Manoucher Afshari
- Devesh Agarwal
- Carl F Alessi
- Amy L Woodman Dba Mind in Motion Integrative Health
All providers in Lincoln, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.