Martha Brown

Individual provider Active NPI Social Worker · Rockland, ME

NPI 1992941173 · NPPES record last updated Dec 18, 2008

Key facts

NPI
1992941173
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
LS6139 (ME)
Practice address
12 Union St
Rockland, ME 04841-2739
Phone
(207) 701-4477
Fax
(207) 701-4486
NPI assigned
Dec 18, 2008
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

LicenseStateTypeSpecialty
LS6139MEMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LS6139 ME Yes

Addresses

Primary practice location

12 Union St
Rockland, ME 04841-2739

Mailing address

12 Union St
Rockland, ME 04841-2739
Phone (207) 701-4477

Other identifiers

IdentifierTypeStateIssuer
104000000MedicaidME

Other providers in Rockland, ME

All providers in Rockland, ME · Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.