Shelby Briggs, LADC, CCS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Westbrook, ME
NPI 1720529977 · NPPES record last updated Apr 8, 2021
Key facts
- NPI
- 1720529977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LC6578 (ME)
- Practice address
- 11 Temple St
Westbrook, ME 04092-4638 - Phone
- (207) 408-3846
- NPI assigned
- Mar 20, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| CAC6104 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| LC6578 | ME | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC6104 | ME | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC6578 | ME | Yes |
Addresses
Primary practice location
11 Temple St
Westbrook, ME 04092-4638
Mailing address
11 Temple St
Westbrook, ME 04092-4638
Phone (207) 408-3846
Other practice location 1
550 Lisbon St
Lewiston, ME 04240-6580
Phone (207) 795-0149
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AI | Medicaid | ME |
Other providers in Westbrook, ME
- Melissa M Bowker-Kinley
- Sydney Boyer
- David Brackett
- William A. Brennan Jr.
- Nicholas Paul Bridges
- Bright Future Homecare LLC
- Amy N Brown
- Ian Jason Brown
- Melissa Beth Brown
- Skylah Rae Buchanan
All providers in Westbrook, ME · Addiction (Substance Use Disorder) 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 8, 2021. 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.