Douglas Edmund Daggett, LMSW
Individual provider Active NPI School Social Worker · Freeport, ME
NPI 1780992008 · NPPES record last updated Sep 21, 2010
Key facts
- NPI
- 1780992008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Social Worker 1041S0200X
- License
- LM4188 (ME)
- Practice address
- 30 Holbrook St
Freeport, ME 04032-1205 - Phone
- (207) 865-4706
- NPI assigned
- Sep 21, 2010
- Sex
- Male
- 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 |
|---|---|---|---|
| LM4188 | ME | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | LM4188 | ME | Yes |
Addresses
Primary practice location
30 Holbrook St
Freeport, ME 04032-1205
Mailing address
30 Holbrook St
Freeport, ME 04032-1205
Phone (207) 865-4706
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104150200X | Medicaid | ME |
Other providers in Freeport, ME
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- Megan Eliza Cressler
- Customized Employment Solutions
- CVS State Capital, L.L.C.
- Dale Erickson
- Kim Decarlo
- Kaitlyn-Jade Dingley
- Daniel James Doherty
- Cassandra J Dolby
All providers in Freeport, ME · School 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 Sep 21, 2010. 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.