Eric Edinger Ernst, LCSW
Individual provider Active NPI Clinical Social Worker · Dover Foxcroft, ME
NPI 1245446111 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1245446111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC6889 (ME)
- Practice address
- 1093 W Main St
Dover Foxcroft, ME 04426-3717 - Phone
- (207) 564-8175
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6889 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health and Counseling Services | Past | Accepting new patients | |
| Community Health and Counseling Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC6889 | ME | Yes |
Addresses
Primary practice location
1093 W Main St
Dover Foxcroft, ME 04426-3717
Mailing address
PO Box 51
Dover Foxcroft, ME 04426-0051
Phone (207) 564-0828
Other providers in Dover Foxcroft, ME
- Laura Marie Dunbar
- Stacey Duran
- Colleen N Dwan
- Ellen M Anderson DPM
- Sandra Engstrom
- Essex Sreet Dental Associates,PA
- Essex Street Dental LLC
- Ethan Evankow
- Richard A. Evans
- Andrew Exley
All providers in Dover Foxcroft, 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 9, 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.