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Individual

SUSAN EMILY WORCESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LADC, CCS

Contact information

Practice address
146 OCEAN ST STE 8, SOUTH PORTLAND, ME 04106-3664
(207) 828-7900
(207) 828-7900
Mailing address
146 OCEAN ST STE 8, SOUTH PORTLAND, ME 04106-3664
(207) 828-7900
(207) 828-7900

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC7008
ME
101YM0800X
Mental Health Counselor
MC17656
ME
104100000X
Social Worker
MC14656
ME
1041C0700X
Clinical Social Worker
Primary
LC19591
ME

Other

Enumeration date
04/23/2019
Last updated
01/29/2026
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