Organization
EASTER SEALS MAINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIN TREANOR (CFO)
(603) 621-3462
Entity
Organization
Contact information
Practice address
14 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 560-2894
(207) 773-1139
Mailing address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 623-8863
(603) 622-8101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0921635002
CIGNA
ME
01
—
1341145
AETNA
ME
05
—
191720000
—
ME
05
—
191720001
—
ME
05
—
191720100
—
ME
05
—
191720200
—
ME
01
—
AA16930
HARVARD PILGRIM HEALTHCAR
ME
Enumeration date
11/14/2006
Last updated
11/20/2019
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