MARY C FLETCHER (NPI# 1700836079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700836079 |
| Entity Type | Individual |
| Full Name | MARY C FLETCHER |
| Credential | LCSW |
| Practice Address |
110 Tandberg Trl Windham ME 04062-5206 |
| Practice Telephone | 2078927430 |
| Practice Fax Number | 2078929997 |
| Mailing Telephone | 2078927430 |
| Mailing Fax Number | 2078929997 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC7365 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM | 043222 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891892113 | Mary Agnes Fletcher | Physical Therapist | 405 Franklin Street, Clymer, PA 15728-0153 | 2006-09-20 |
| 1023616828 | Mary Ann Fletcher | Technician | 726 Riverview Dr, Belmont, WV 26134-9719 | 2020-10-14 |
| 1043861552 | Mary Cathryn Fletcher | Physical Therapist | 102 Williams Rd, Nicholasville, KY 40356-1917 | 2019-09-25 |
| 1093974933 | Mary Fletcher | Dentist | 1721 Main St, Ste 111, Ramona, CA 92065 | 2008-06-05 |
| 1861665325 | Mary Ann Fletcher | Registered Nurse | 10065 E Harvard Ave, Denver, CO 80231-5968 | 2008-04-04 |
| 1922296771 | Mary Fletcher | Counselor | 504 Micah Drive, Drawer M, Olney, IL 62450 | 2007-10-05 |
| 1972712099 | Mary A. Fletcher | Occupational Therapy Assistant | 111 Nw Mock Ave, Blue Springs, MO 64014-2503 | 2007-05-22 |
| 1205884277 | Mary Catherine Fletcher | Nurse Practitioner | 1055 Clermont St, Denver, CO 80220-3808 | 2006-05-04 |
| 1982675237 | Mary Beth Fletcher | Nurse Anesthetist, Certified Registered | 4001 Dutchmans Ln, Norton Suburban Hospital, Louisville, KY 40207-4714 | 2006-01-26 |
| Street Address |
110 TANDBERG TRL |
| City | WINDHAM |
| State | ME |
| Zip Code | 04062-5206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609002815 | James M Moran | Psychologist | 110 Tandberg Trl, Windham, ME 04062-5206 | 2009-06-02 |
| 1821267139 | Carol Lee Leonard | Counselor | 110 Tandberg Trl, Suite E, Windham, ME 04062-5206 | 2008-02-21 |
| 1568683563 | Suzanne M Cobleigh | Social Worker | 110 Tandberg Trl, Windham, ME 04062-5206 | 2007-05-01 |
| 1184726705 | Carolyn Morse | Counselor | 110 Tandberg Trl, Windham, ME 04062-5206 | 2006-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173878 | Lori A Fletcher | Occupational Therapist | 408 Gray Road, Windham Middle School, Windham, ME 04062 | 2013-10-22 |
| 1952631673 | Great Expectations | Early Intervention Provider Agency | 17 Veterans Memorial Drive, Windham, ME 04062 | 2009-12-31 |
| 1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
| 1245485390 | Cynthia Ann Grover | Counselor | 86 Tanenberg Trail, Smart Child and Family Services, Windham, ME 04062 | 2008-11-17 |
| 1902066277 | Edgeco LLC | Specialist | 108 Tandburg Trail, Windham, ME 04062 | 2008-06-11 |
| 1881811875 | John E. Wood | Counselor | 76 Tandberg Trl Unit 2a, Windham, ME 04062 | 2007-04-19 |
| 1184848509 | Howland W. Bickerstaff | Counselor | Danzig Counseling Services, 936 Roosevelt Trail, Windham, ME 04062 | 2007-04-13 |
| 1700953015 | Melanie P Fitzsimmons | Internal Medicine | 584 Roosevelt Trail, Windham, ME 04062 | 2006-11-29 |
| 1023109204 | Ted W Rogers | Chiropractor | 744 Roosevelt Trail, Windham Crossing Suite 205, Windham, ME 04062 | 2006-09-27 |
| 1285744367 | Cheryl L Klein | Counselor | 30 Hemon Cobb Rd, Windham, ME 04062 | 2006-08-30 |
| Find all providers in zip 04062 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979740 | Monique Tremblay Burke | Social Worker | 16 Stonehedge Rd, Windham, NH 03087-1251 | 2018-10-30 |
| 1700395068 | Samantha Rose Bacchi | Social Worker | 38 Thrush Ter, Windham, ME 04062-5790 | 2017-09-29 |
| 1326356924 | Douglas Daigle | Social Worker | 406 Gray Rd, Windham, ME 04062-4290 | 2010-09-16 |
| 1881900165 | Laura-lea Langlais | Social Worker | 29 Kimbertown Ln, Windham, ME 04062-3368 | 2010-08-25 |
| 1295933489 | Nolan M Thompson | Social Worker | 755 Roosevelt Trl # 3b, Windham, ME 04062-5341 | 2007-07-10 |
| 1548320427 | Julia Laurenson Orr | Social Worker | 17 Mallison Falls Rd, Windham, ME 04062-4101 | 2006-12-11 |
| 1154330975 | Michelle H. Bolen | Social Worker | 744 Roosevelt Trl Ste 302a, Windham, ME 04062-5281 | 2006-08-08 |
| 1306458542 | Restorative Wellness | Social Worker | 16 Depot St, Windham, ME 04062-4115 | 2020-08-19 |
| 1649813353 | Connecting The Dots LLC | Social Worker | 219 Roosevelt Trl, Windham, ME 04062-4396 | 2019-10-25 |
| 1952773327 | Rebecca Marie Knowles | Social Worker | 86 Tandberg Trl, Windham, ME 04062-5841 | 2015-10-26 |
| Find all providers in WINDHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.