Cheryl Krawietz
Individual provider Active NPI Professional Counselor · Lincoln, ME
NPI 1558739482 · NPPES record last updated Apr 23, 2019
Key facts
- NPI
- 1558739482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CC4752 (ME)
- Practice address
- 213 W Broadway
Lincoln, ME 04457-4001 - Phone
- (207) 265-6445
- Fax
- (207) 403-9344
- NPI assigned
- Sep 9, 2015
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAC6372 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| CC4752 | ME | MD | Professional Counselor |
| 71662 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC6372 | ME | |
| Professional Counselor | 101YP2500X | 71662 | TX | |
| Professional Counselor | 101YP2500X | CC4752 | ME | Yes |
Addresses
Primary practice location
213 W Broadway
Lincoln, ME 04457-4001
Mailing address
12 Clay St
Lincoln, ME 04457-1502
Phone (207) 265-6445
Other providers in Lincoln, ME
- Courtney Marie Kimball
- Mary Jo King
- Kyle Klosowski
- Siegfried Alfred Klotz
- Katie Lorraine Krapf
- Gina Krawietz
- Jeffrey M Kyes
- Jean L'Italien
- Gerald S Laird
- Lakeview Afch Inc
All providers in Lincoln, ME · Professional Counselor 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 23, 2019. 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.