Emerge & Transform
Social Worker, Clinical in Farmington, ME. Organization (NPI-2).
NPI number1104501436
StatusActive
Last updated in NPPESJun 15, 2023
Details
- NPI
- 1104501436
- Entity type
- Organization (NPI-2)
- Legal business name
- Emerge & Transform
- Organization subpart
- No
- Enumeration date
- Jun 15, 2023
- Certification date
- Jun 15, 2023
- Last updated
- Jun 15, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
174 Broadway Ste 2Farmington, ME 04938-5911
Phone 207-860-4447
Mailing address
174 Broadway Ste 2Farmington, ME 04938-5911
Authorized official
Mary Small
Owner/Lcsw
2078604447
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All 29 Clinical Social Worker providers in Farmington · All 445 providers in Farmington
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