Individual
MRS. MEREDITH ANN INOSENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
44 CURTIS ST, SOUTH PORTLAND, ME 04106-3512
(898) 545-3889
Mailing address
44 CURTIS ST, SOUTH PORTLAND, ME 04106-3512
(989) 854-5388
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC14232
ME
1041C0700X
Clinical Social Worker
Primary
LC17824
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC17824
LCSW LICENSE
ME
Enumeration date
07/16/2015
Last updated
03/18/2026
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