Healthcare Provider Details
I. General information
NPI: 1518249887
Provider Name (Legal Business Name): ANNA M MCFARLAND LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/13/2011
Last Update Date: 02/02/2021
Certification Date: 02/02/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11 MILL ST
HOULTON ME
04730-1877
US
IV. Provider business mailing address
180 ACADEMY ST STE 3
PRESQUE ISLE ME
04769-3183
US
V. Phone/Fax
- Phone: 207-532-6523
- Fax: 207-532-3873
- Phone: 207-554-2352
- Fax: 207-554-2351
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | CAC4177 |
| License Number State | ME |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 1518249887 |
| License Number State | ME |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | MC13123 |
| License Number State | ME |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | LC14279 |
| License Number State | ME |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: