Joan Angelakis, LCSW

Individual provider Active NPI Clinical Social Worker · Smithfield, ME

NPI 1801075601 · NPPES record last updated Jun 21, 2013

Key facts

NPI
1801075601
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LC3740 (ME)
Practice address
28 Merry LN
Smithfield, ME 04978-0002
Phone
(207) 462-5900
Fax
(207) 362-6111
NPI assigned
Oct 29, 2007
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)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC3740 ME Yes

Addresses

Primary practice location

28 Merry LN
Smithfield, ME 04978-0002

Mailing address

PO Box 2
Smithfield, ME 04978-0002
Phone (207) 462-5900

Other identifiers

IdentifierTypeStateIssuer
469007OtherVALUE OPTIONS
047966OtherANTHEM
1040884OtherCIGNA
0007217022OtherAETNA

Other providers in Smithfield, ME

All providers in Smithfield, ME · Clinical Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.