Jessica Allen-Fumarola, LCSW
Individual provider Active NPI Clinical Social Worker · Lewiston, ME
NPI 1396026977 · NPPES record last updated Jan 31, 2013
Key facts
- NPI
- 1396026977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC13749 (ME)
- Practice address
- 331 Pine Street
Lewiston, ME 04240 - Phone
- (207) 334-6290
- NPI assigned
- Sep 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| LC13749 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweetser | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC13749 | ME | Yes |
Addresses
Primary practice location
331 Pine Street
Lewiston, ME 04240
Mailing address
331 Pine Street
Lewiston, ME 04240
Phone (207) 334-6290
Other providers in Lewiston, ME
- Donald Albee Jr.
- Patricia Mary Albert-Dehetre
- Deana L Albert
- Clare Alexander
- Jaime Alexander
- L Aurie Elizabeth Allen
- Lauren E Allen
- Lisa R Allen
- Mark Allen
- Rachel Allen
All providers in Lewiston, 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 Jan 31, 2013. 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.