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Contact Information

JENIFER BORDELON, LCSW, LADC, PMH-C
22 BRAMHALL ST
PORTLAND, ME04102-3134
 Phone: 207-706-3280
 Fax: 207-810-2407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JENIFER BORDELON · (Female)

NPI # 1467985812
Status Active
Credentials LCSW, LADC, PMH-C
Entity Individual
Enumeration date 04/04/2017
Last updated 02/24/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • LA License # 14250
  • LA License # 1451
  • ME License # LC25558
  • ME License # LC9325
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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