Patricia Ann Waite, LCSW
Individual provider Active NPI Clinical Social Worker · Norridgewock, ME
NPI 1679559017 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679559017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC10863 (ME)
- Practice address
- 216 River Road
Norridgewock, ME 04957 - Phone
- (207) 634-2329
- NPI assigned
- Dec 19, 2005
- 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 |
|---|---|---|---|
| LC10863 | ME | MD | Clinical Social Worker |
| 3776 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Behavioral Healthcare, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC10863 | ME | Yes |
Addresses
Primary practice location
216 River Road
Norridgewock, ME 04957
Mailing address
216 River Road
Norridgewock, ME 04957
Phone (207) 612-8444
Other providers in Norridgewock, ME
All providers in Norridgewock, 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 8, 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.