Healthcare Provider Details

I. General information

NPI: 1174852206
Provider Name (Legal Business Name): CHRISTINE C LAPOINTE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE GAGNON

II. Dates (important events)

Enumeration Date: 12/20/2009
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 HATCH DR STE 310
CARIBOU ME
04736-2039
US

IV. Provider business mailing address

110 POPLAR ST
VAN BUREN ME
04785-1153
US

V. Phone/Fax

Practice location:
  • Phone: 207-493-3361
  • Fax: 207-492-4889
Mailing address:
  • Phone: 207-868-3354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMC19783
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: