Cynthia Grace Luma, MED, LCPC, LMHC, LMF
Individual provider Active NPI Clinical Social Worker · Kittery, ME
NPI 1336268804 · NPPES record last updated Mar 27, 2008
Key facts
- NPI
- 1336268804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 206039 (MA)
- Practice address
- 40 Dion Ave
Kittery, ME 03904-1119 - Phone
- (207) 439-6600
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1621 | MA | MD | Mental Health Counselor |
| CC2458 | ME | MD | Professional Counselor |
| 206039 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 206039 | MA | Yes |
| Professional Counselor | 101YP2500X | CC2458 | ME | |
| Marriage & Family Therapist | 106H00000X | 617 | MA | |
| Mental Health Counselor | 101YM0800X | 1621 | MA |
Addresses
Primary practice location
40 Dion Ave
Kittery, ME 03904-1119
Mailing address
40 Dion Ave
Kittery, ME 03904-1119
Phone (207) 439-6600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1312294 | Medicaid | MA |
Other providers in Kittery, ME
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- Calvin Limberg
- Ajisa Liti
- Tyler James Lowe
- Luna Nutrition Therapy, LLC
- Donna Mackenzie
- Carrie Ann Macleod
- Thomas Frank Marchell
- Edward A McAbee Jr.
All providers in Kittery, 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 Mar 27, 2008. 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.