CAROL MAYNARD LARSON (NPI# 1952418709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952418709 |
| Entity Type | Individual |
| Full Name | CAROL MAYNARD LARSON |
| Credential | LCPC, CADC |
| Practice Address |
12 Westbrook Cmn Westbrook ME 04092-2819 |
| Mailing Address |
78 Atlantic Pl South Portland ME 04106-2316 |
| Practice Telephone | 2078561500 |
| Practice Fax Number | 2078561518 |
| Mailing Telephone | 2076616654 |
| Mailing Fax Number | 2078427773 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2016-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAC3744 | ME | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC2507 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 432159799 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346560471 | Carol A Larson | Counselor | 124 W 46th St, Ste 204, Kearney, NE 68847-8348 | 2010-06-11 |
| 1811244973 | Carol Larson | Social Worker | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2012-08-08 |
| 1790944429 | Carol Jean Larson | Specialist | 832 Valley Mall Pkwy, Suite A, East Wenatchee, WA 98802-4496 | 2008-06-06 |
| 1225208275 | Carol Ann Larson | Counselor | 7055 W Bell Rd, Suite 21, Glendale, AZ 85308-8544 | 2008-03-05 |
| 1659429199 | Carol Larson | Internal Medicine | 200 W 57th St, 16th Fl, New York, NY 10019-3211 | 2007-01-08 |
| 1427041433 | Carol Jean Larson | Pathology | 800 E 28th St, Minneapolis, MN 55407-3723 | 2005-08-24 |
| Street Address |
12 WESTBROOK CMN |
| City | WESTBROOK |
| State | ME |
| Zip Code | 04092-2819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633649 | Hannah Nicole Reidman | Occupational Therapist | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2020-09-11 |
| 1376198127 | Hillary Elizabeth Hough Anderson | Occupational Therapy Assistant | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2019-08-08 |
| 1063983047 | Lindsay Ortiz | Occupational Therapist | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2018-12-17 |
| 1689105157 | Cassandra Clark | Occupational Therapist | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2017-03-25 |
| 1164889747 | Lillian J. Shields | Social Worker | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2016-01-27 |
| 1245605047 | Alyssa Rand Nile | Social Worker | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2015-12-04 |
| 1316321656 | Jessica Shavon Pao | Social Worker | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2015-07-16 |
| 1225412612 | Tamela Ann Simmons | Counselor | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2015-07-15 |
| 1659793636 | Ariel E. Kollangi | Counselor | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2014-01-10 |
| 1588928634 | Stephanie A. Williams | Counselor | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529013 | Easy Life LLC | In Home Supportive Care | 77 Mechanic St, Westbrook, ME 04092 | 2017-10-17 |
| 1932644325 | Onelove Homecare, LLC | In Home Supportive Care | 24 Pike Street, Westbrook, ME 04092 | 2016-12-21 |
| 1184171613 | Conor Cannon I | Counselor | 1500 Saunders Way, 900, Westbrook, ME 04092 | 2016-09-01 |
| 1104201011 | Dana L Villmore | Physician Assistant | Intermed Onsite At Idexx, 1 Idexx Drive, Westbrook, ME 04092 | 2015-07-22 |
| 1407249147 | Allyson Bea Lowell | Social Worker | 170 Forest Street, Westbrook, ME 04092 | 2015-03-05 |
| 1477969541 | Gretchen Jefferson | Psychologist | 15 Saunders Way Woodfords Family Services, Westbrook, ME 04092 | 2014-07-09 |
| 1053725176 | Anita Aaltje Devine | Massage Therapist | 89 Lamb Street, Westbrook, ME 04092 | 2014-06-17 |
| 1124449806 | Spectrum Staffing Solutions LLC | In Home Supportive Care | 1 Westbrook Commons, Suite 1, Westbrook, ME 04092 | 2013-12-23 |
| 1760816276 | Avita Stroudwater, LLC | Alzheimer Center (Dementia Center) | 320 Spring Street, Westbrook, ME 04092 | 2013-09-03 |
| 1659637742 | Kate Beever | Music Therapist | 54 West Valentine Street, Westbrook, ME 04092 | 2012-04-03 |
| Find all providers in zip 04092 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518419381 | Jamie Schwellenbach | Counselor | 54 Lamb St, Westbrook, ME 04092-4310 | 2016-10-27 |
| 1053602904 | Virginia Walker Bowes | Counselor | 836 Main St Ste 2, Westbrook, ME 04092-2861 | 2011-04-27 |
| 1700021029 | Bayside Counseling, LLC | Counselor | 1921 Boston Post Rd, #207, Westbrook, CT 06498-2171 | 2008-12-16 |
| 1275638769 | Carol P Gray Kelley | Counselor | 836 Main Street, Westbrook, ME 04092 | 2006-09-13 |
| 1588208136 | Emily Ashley | Counselor | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2019-11-06 |
| 1659793636 | Ariel E. Kollangi | Counselor | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2014-01-10 |
| 1174873921 | Karen Louise Backman | Counselor | 21 Saco St, Westbrook, ME 04092-2856 | 2012-09-19 |
| 1245569250 | Kimberly M, Cornwall | Counselor | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2009-12-22 |
| 1881824175 | Seth Michael Metevier | Counselor | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2009-07-21 |
| 1427265966 | Hahna David Patterson | Counselor | 333 Brown St, Westbrook, ME 04092-2909 | 2007-05-16 |
| Find all providers in WESTBROOK | ||||
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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.