Healthcare Provider Details

I. General information

NPI: 1912299397
Provider Name (Legal Business Name): MEGAN MARIE DAY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 11/10/2021
Certification Date: 11/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ACADEMY RD
MONMOUTH ME
04259-7035
US

IV. Provider business mailing address

180 CHURCH HILL RD STE 1
LEEDS ME
04263-3418
US

V. Phone/Fax

Practice location:
  • Phone: 207-524-3501
  • Fax: 207-933-9645
Mailing address:
  • Phone: 207-524-3501
  • Fax: 207-524-2093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC13662
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: