Healthcare Provider Details

I. General information

NPI: 1487952271
Provider Name (Legal Business Name): ALAINA WILLSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2011
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 CALAIS AVE
CALAIS ME
04619-1664
US

IV. Provider business mailing address

61 CALAIS AVE
CALAIS ME
04619-1664
US

V. Phone/Fax

Practice location:
  • Phone: 207-214-2163
  • Fax:
Mailing address:
  • Phone: 207-214-2163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC17811
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: