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Contact Information

TINA K BEVERLY, LMSW-CC
442 MOOSEHEAD TRL
NEWPORT, ME04953-4004
 Phone: 207-907-7205
 Fax: 207-561-4725
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for TINA K BEVERLY · (Female)

NPI # 1659726172
Status Active
Credentials LMSW-CC
Entity Individual
Enumeration date 05/03/2016
Last updated 05/03/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • ME License # MC15885
  • ME Medicaid IN PROCESS
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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