Healthcare Provider Details

I. General information

NPI: 1053299370
Provider Name (Legal Business Name): MEAGHAN MORSE LMSW-CC
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 MAIN ST
PORTER ME
04068-3527
US

IV. Provider business mailing address

626 WEST RD
WATERBORO ME
04087-3519
US

V. Phone/Fax

Practice location:
  • Phone: 207-625-8126
  • Fax:
Mailing address:
  • Phone: 207-719-8089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberMC24929
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: