Healthcare Provider Details

I. General information

NPI: 1962382010
Provider Name (Legal Business Name): ANNE SCHNEIDER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 CUMBERLAND AVE
PORTLAND ME
04101-2957
US

IV. Provider business mailing address

15 KING ST # 1
WESTBROOK ME
04092-3532
US

V. Phone/Fax

Practice location:
  • Phone: 207-874-8100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC24123
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: