MEDICARE: MRS. ELIZABETH A FAULKNER LMSW

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
1	104100000X	Social Worker	LM12215	ME

General Provider Information

NPI Number	:	1740593805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH A FAULKNER LMSW

Provider Business Mailing Address
First Line	:	899 RIVERSIDE ST
Second Line	:
City	:	PORTLAND
State	:	ME
Zip	:	04103-1070
Country	:	US
Telephone Number	:	207-871-1200
Fax Number	:	207-871-1232

Provider Business Practice Location Address
First Line	:	98 CUMBERLAND RD
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-6317
Country	:	US
Telephone Number	:	207-838-5138
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2010
Last Update Date	:	07/19/2010

Similar Medicare Providers

1366588592 — MARIA RHODORA SISON PABLO RDH
Practice Location Address:

30TH ADOS SGGD , 338 SOUTH DAKOTA AVE, STE 1-1300
VANDENBERG AFB, CA
93437-6317

Practice Phone: 805-606-1846
Practice Fax:

1245617273 — NANCY KELLY-CULBERSON CRNA
Practice Location Address:

10340 SW RIDGEVIEW LN
PORTLAND, OR
97219-6317

Practice Phone: 310-251-9801
Practice Fax:

1689655458 — DR. TIMOTHY GENE IRVING DC, LMT
Practice Location Address:

819 SE MORRISON ST STE 215
PORTLAND, OR
97214-6317

Practice Phone: 503-866-9739
Practice Fax: 503-716-4575

1780769000 — ERIC HUYNH PHARM. D.
Practice Location Address:

10328 SW RIDGEVIEW LN
PORTLAND, OR
97219-6317

Practice Phone: 503-220-8262
Practice Fax:

1730768938 — EVNICA I KOROTKIKH
Practice Location Address:

6428 SE JENNINGS AVE
PORTLAND, OR
97267-6317

Practice Phone: 360-936-3519
Practice Fax:

1225981780 — MERCEDES DEBOWEY RN
Practice Location Address:

127 MAIN ST
SOUTH PORTLAND, ME
04106-2647

Practice Phone: 207-630-6830
Practice Fax:

Directions to “ MRS. ELIZABETH A FAULKNER LMSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.