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NPI Code Detail

MEDICARE: MS. DANIELLE CASEY BEGERT LMSW-CC, CADC

MEDICARE: MS. DANIELLE CASEY BEGERT LMSW-CC, CADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCAC3669ME
2101YM0800XMental Health CounselorMC11857ME

General Provider Information

NPI Number : 1215273081
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANIELLE CASEY BEGERT LMSW-CC, CADC
Provider Business Mailing Address
First Line : 24 DUNN ST
Second Line :
City : AUBURN
State : ME
Zip : 04210-6821
Country : US
Telephone Number : 207-784-2901
Fax Number : 207-783-5134
Provider Business Practice Location Address
First Line : 24 DUNN ST
Second Line :
City : AUBURN
State : ME
Zip : 04210-6821
Country : US
Telephone Number : 207-784-2901
Fax Number : 207-783-5134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2012
Last Update Date : 12/22/2012

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