Healthcare Provider Details

I. General information

NPI: 1346202819
Provider Name (Legal Business Name): LORRIE MAE MARX ADAMS MSW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 PARKER ST
NEWBURYPORT MA
01950-4033
US

IV. Provider business mailing address

997 MAIN ST
SANFORD ME
04073-3512
US

V. Phone/Fax

Practice location:
  • Phone: 978-225-2250
  • Fax: 978-225-2251
Mailing address:
  • Phone: 207-324-4777
  • Fax: 207-324-3655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLC7041
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: