Individual
NANCY MAIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
653
NH
1041C0700X
Clinical Social Worker
Primary
LC16523
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042179
MMC
NH
01
—
1408079Y0NH02
BCBS
—
01
—
2042782
MCC BEHAVORIAL
—
01
—
MHS164441
VALUE OPTIONS HEALTHCARE
—
Enumeration date
05/02/2006
Last updated
10/04/2021
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