MEDICARE: ANGELA M. BARBATO LCSW

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	1041C0700X	Clinical Social Worker	LC17448	ME

General Provider Information

NPI Number	:	1932414497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA M. BARBATO LCSW

Provider Business Mailing Address
First Line	:	10 MARKET ST STE 205
Second Line	:
City	:	SCARBOROUGH
State	:	ME
Zip	:	04074-7683
Country	:	US
Telephone Number	:	603-883-0005
Fax Number	:	603-883-0007

Provider Business Practice Location Address
First Line	:	10 MARKET ST STE 205
Second Line	:
City	:	SCARBOROUGH
State	:	ME
Zip	:	04074-7683
Country	:	US
Telephone Number	:	603-883-0005
Fax Number	:	603-883-0007

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

Provider Enumeration Date	:	08/09/2010
Last Update Date	:	10/15/2025

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