Individual
MR. JAMES C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
192 YORK ST, YORK, ME 03909-1021
(207) 363-2164
(207) 363-7808
Mailing address
192 YORK ST, YORK, ME 03909-1021
(207) 363-2164
(207) 363-7808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00506
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017672
ANTHEM BC BS
ME
Enumeration date
10/11/2006
Last updated
09/16/2013
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