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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JEAN M WAKEM, LCSW
253 NORTHPORT AVE
BELFAST, ME04915-6006
 Phone: 207-338-4514
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for JEAN M WAKEM · (Female)

NPI Number 1003011487
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 06/18/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # LC7318
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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