Individual
NICHOLAS MEINTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
37 ANDOVER RD, PORTLAND, ME 04102
(207) 661-3600
Mailing address
37 ANDOVER RD, PORTLAND, ME 04092
(207) 878-9663
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MC16770
ME
1041C0700X
Clinical Social Worker
Primary
LC18242
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC16770
LCSW LICENSE
ME
Enumeration date
07/26/2017
Last updated
11/12/2021
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