Susan C McEwen, LCSW
Individual provider Active NPI Clinical Social Worker · Pittsfield, ME
NPI 1164525739 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164525739
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC1227 (ME)
- Practice address
- 20 Waverly Ave
Pittsfield, ME 04967 - Phone
- (207) 487-2515
- Fax
- (207) 487-4961
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC1227 | ME | Yes |
Addresses
Primary practice location
20 Waverly Ave
Pittsfield, ME 04967
Mailing address
PO Box 66
Pittsfield, ME 04967
Phone (207) 487-2515
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008388 | Other | ME | ANTHEM |
Other names
- Susan C Olivares
Other providers in Pittsfield, ME
- Christopher Norman Knowles
- Brianna Autumn Leary
- Alan Douglas Lilly
- Lymphedema Assoc of Maine
- Makayla Maxwell
- Anna McKenney
- Msad #53
- Anna Nault
- New View Counseling
- New View Counseling
All providers in Pittsfield, 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 Jul 8, 2007. 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.