Mindy Cousineau, LCSW
Social Worker, Clinical in Wilton, ME. Individual provider (NPI-1).
NPI number1043081995
StatusActive
Last updated in NPPESOct 13, 2025
Details
- NPI
- 1043081995
- Entity type
- Individual (NPI-1)
- Name
- Mindy Cousineau
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 10, 2024
- Certification date
- Oct 13, 2025
- Last updated
- Oct 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LC25119 | ME | Yes |
| 1041C0700X | Social Worker, Clinical | MC22465 | ME |
Practice location
284 Main St Ste 300Wilton, ME 04294-3044
Phone 207-578-1412
Mailing address
Po Box 254Wilton, ME 04294-0254
Phone 207-578-1412
Other practice locations
57 Camp Rd
Wilton, ME 04294-5521
Wilton, ME 04294-5521
Phone 207-578-1412
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