Polly Margaret Colvin, LCSW
Individual provider Active NPI Clinical Social Worker · Ocean Park, ME
NPI 1417468331 · NPPES record last updated Apr 27, 2020
Key facts
- NPI
- 1417468331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC7544 (ME)
- Practice address
- 61 Colby Avenue
Ocean Park, ME 04063 - Phone
- (207) 934-5450
- NPI assigned
- Oct 18, 2017
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC7544 | ME | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC7544 | ME | Yes |
Addresses
Primary practice location
61 Colby Avenue
Ocean Park, ME 04063
Mailing address
PO Box 7385
Ocean Park, ME 04063-7385
Phone (207) 934-5450
Other providers in Ocean Park, ME
All providers in Ocean Park, 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 Apr 27, 2020. 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.