Jane Gair Prairie, LCSW
Individual provider Active NPI Clinical Social Worker · Westbrook, ME
NPI 1891847992 · NPPES record last updated Mar 6, 2008
Key facts
- NPI
- 1891847992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC2787 (ME)
- Practice address
- 836 Main St
Westbrook, ME 04092-2861 - Phone
- (207) 879-3803
- NPI assigned
- Jan 17, 2007
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2787 | ME | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC2787 | ME | Yes |
Addresses
Primary practice location
836 Main St
Westbrook, ME 04092-2861
Mailing address
PO Box 701
Westbrook, ME 04098-0701
Phone (207) 879-3803
Other providers in Westbrook, ME
- Portland West Family Practice, LLC
- Nicholas Potts
- Debra A Poulin
- Madeleine R Powers
- Sara J Powers
- Peter Preble
- Gretchen F Preneta
- David S Prescott
- Prestige Residential Care LLC
- Professional Healthcare Training
All providers in Westbrook, 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 Mar 6, 2008. 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.